JACKLYN ANNE MORTENSEN PA-C
NPI 1619628237
Physician Assistant in Lexington, KY

Active since January 14, 2022PECOS EnrolledAccepts Medicare Assignment
1350 BULL LEA RD, LEXINGTON, KY 40511(859) 246-8000 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2022, Jan 14, 2022 (2 updates tracked since 2022).

About Jacklyn Anne Mortensen Pa-c NPPES

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

JACKLYN ANNE MORTENSEN PA-C (NPI 1619628237) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA2925) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619628237
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACKLYN ANNE MORTENSENCredential: PA-C
Location Address1350 BULL LEA RDLexington, KY 40511-1247
Mailing Address1350 Bull Lea RdLexington, KY 40511-1247 · (859) 640-9165
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 14, 2022
Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
NPI 1619628237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · PA2925
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2925 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA2925 (KY)
1350 BULL LEA RD, Lexington, KY 40511

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacklyn Anne Mortensen Pa-c 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 ID5799170163
PECOS Enrollment IDI20220322000726
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.

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.

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.
156 services22 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40511 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
1350 BULL LEA RD
LEXINGTON, KY 40511
Psychiatry & Neurology (Psychiatry)
1350 BULL LEA RD
LEXINGTON, KY 40511
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Physician Assistant
1350 BULL LEA RD
LEXINGTON, KY 40511
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Physician Assistant
1350 BULL LEA RD
LEXINGTON, KY 40511

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 Jacklyn Mortensen's NPI number?

The NPI number for Jacklyn Mortensen is 1619628237. It was assigned to this individual provider in the NPPES registry on January 14, 2022.

Where is Jacklyn Mortensen located?

Jacklyn Mortensen practices at 1350 Bull Lea Rd, Lexington, KY 40511. The listed phone number is (859) 246-8000.

What is Jacklyn Mortensen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacklyn Mortensen enrolled in Medicare?

Yes. Jacklyn Mortensen 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.

What insurance does Jacklyn Mortensen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Jacklyn Mortensen 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 Jacklyn Mortensen affiliated with any hospitals?

According to CMS data, Jacklyn Mortensen is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Jacklyn Mortensen was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.