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ANNA MICHELLE JONES APRN
NPI 1609393578
Nurse Practitioner in London, KY

Active since August 23, 2017PECOS EnrolledAccepts Medicare Assignment
85.61/100
CMS Quality Rating
432 SCARLET OAK DR, LONDON, KY 40741(859) 401-2526 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anna Michelle Jones Aprn NPPES

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

ANNA MICHELLE JONES APRN (NPI 1609393578) is an individual nurse practitioner in London, Kentucky, licensed in Kentucky (3011616) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609393578
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANNA MICHELLE JONESCredential: APRN
Location Address432 SCARLET OAK DRLondon, KY 40741-8298
Mailing Address432 Scarlet Oak DrLondon, KY 40741-8298
Phone(859) 401-2526
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 23, 2017
Last NPPES UpdateMarch 9, 2018
✔ NPI 1609393578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3011616
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 3011616 (KY)
432 SCARLET OAK DR, London, KY 40741
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Anna Michelle Jones 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 ID7810259223
PECOS Enrollment IDI20180323000994
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 Anna Jones reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apogee Medical Group Kentucky Psc
13 mi
General Practice
1 TRILLIUM WAY, SUITE 5
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 93 clinicians in this Medicare group
NPI 1356503114 (606) 528-1212
Cogent Healthcare Of Kentucky, Psc
67 mi
Internal Medicine
1 SAINT JOSEPH DR
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 236 clinicians in this Medicare group
NPI 1053362293 (859) 313-1000
Southeastern Emergency Physicians LLC
107 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
245 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
99 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services75 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
54 services54 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY
OwnershipGovernment - Local
CMS Certification Number181330
Location153 Dowell RoadRussell Springs, KY 42642 · Russell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 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.

85.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.25
Improvement Activities40
Cost73.25

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 Anna Jones's NPI number?

The NPI number for Anna Jones is 1609393578. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Anna Jones located?

Anna Jones practices at 432 Scarlet Oak Dr, London, KY 40741. The listed phone number is (859) 401-2526.

What is Anna Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Anna Jones enrolled in Medicare?

Yes. Anna Jones 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 Anna Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Jones reassigns Medicare benefits to 3 organizations: Apogee Medical Group Kentucky Psc (Corbin, KY), Cogent Healthcare Of Kentucky, Psc (Lexington, KY) and Southeastern Emergency Physicians LLC (Maysville, 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 Anna Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Jones accept?

Health plans from Anthem Blue Cross and Blue Shield list Anna Jones 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 Anna Jones affiliated with any hospitals?

According to CMS data, Anna Jones is affiliated with Lake Cumberland Regional Hospital and Russell County Hospital.

When was this NPI record last updated?

The NPPES record for Anna Jones was last updated on March 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.