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JILL COLES APRN
NPI 1598247694
Nurse Practitioner - Family in Lexington, KY

Active since September 05, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
168 E REYNOLDS RD STE 130, LEXINGTON, KY 40517(859) 554-5067(859) 818-0324 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2021, Sep 5, 2018 (2 updates tracked since 2018).

About Jill Coles Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL COLES APRN (NPI 1598247694) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3012529) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Owensboro Health Twin Lakes Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1598247694
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJILL COLESCredential: APRN
Location Address168 E REYNOLDS RD STE 130Lexington, KY 40517-1317
Mailing AddressPo Box 911174Lexington, KY 40591-1174 · (859) 554-5067 · Fax (859) 818-0324
Phone(859) 554-5067
Fax(859) 818-0324
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 5, 2018
Last NPPES UpdateSeptember 10, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
✔ NPI 1598247694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3012529
168 E REYNOLDS RD STE 130, Lexington, KY 40517
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100765640KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jill Coles Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224434279
PECOS Enrollment IDI20210831001460
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jill Coles reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

M. C. Cronen & Associates Inc., Psc
60 mi
Interventional Pain Medicine
252 WHITTINGTON PKWY
Louisville, KY 40222
  • Reassigned Medicare billing, Kentucky enrollment
  • 10 clinicians in this Medicare group
NPI 1881759488 (502) 423-7246
Breckinridge Health Inc
99 mi
Anesthesiology
1011 OLD HIGHWAY 60
Hardinsburg, KY 40143
  • Reassigned Medicare billing, Kentucky enrollment
  • 12 clinicians in this Medicare group
NPI 1649798075 (270) 756-7000
Pain Management Group LLC
  • Reassigned Medicare billing, Kentucky enrollment
  • 16 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,054 services511 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services101 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Owensboro Health Twin Lakes Medical Center

Acute Care Hospitals · Leitchfield, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180070
Location910 Wallace AvenueLeitchfield, KY 42754 · Grayson County
Emergency services Birthing friendly

Breckinridge Memorial Hospital

Critical Access Hospitals · Hardinsburg, KY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number181319
Location1011 Old Highway 60Hardinsburg, KY 40143 · Breckinridge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40517 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA STAAB APRN
Nurse Practitioner (Family)
168 E REYNOLDS RD STE 130
LEXINGTON, KY 40517
Fayette County (859) 554-5067
MRS. JANE ALAN OWENS ARNP
Nurse Practitioner (Family)
168 E REYNOLDS RD STE 130
LEXINGTON, KY 40517
Fayette County (859) 554-5067
NP XPRESS CARE, PLLC
Nurse Practitioner (Family)
168 E REYNOLDS RD STE 130
LEXINGTON, KY 40517
Fayette County (859) 797-1112
BLUEGRASS MOBILE MEDICAL SERVICES,LLC
Nurse Practitioner (Family)
168 E REYNOLDS RD STE 130
LEXINGTON, KY 40517
Fayette County (859) 554-5067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Coles's NPI number?

The NPI number for Jill Coles is 1598247694. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Jill Coles located?

Jill Coles practices at 168 E Reynolds Rd Ste 130, Lexington, KY 40517. The listed phone number is (859) 554-5067.

What is Jill Coles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jill Coles enrolled in Medicare?

Yes. Jill Coles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jill Coles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Coles reassigns Medicare benefits to 3 organizations: M. C. Cronen & Associates Inc., Psc (Louisville, KY), Breckinridge Health Inc (Hardinsburg, KY) and Pain Management Group LLC (KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jill Coles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jill Coles accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list Jill Coles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jill Coles affiliated with any hospitals?

According to CMS data, Jill Coles is affiliated with Owensboro Health Twin Lakes Medical Center and Breckinridge Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jill Coles was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.