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BLUEGRASS INTERNAL MEDICINE PLLC
NPI 1619973682
Internal Medicine in Owensboro, KY

Active since June 24, 2005CLIA 18D2168558 · Waiver
3346 PROFESSIONAL PARK DR, OWENSBORO, KY 42303(270) 685-1066(270) 685-0881 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bluegrass Internal Medicine Pllc NPPES

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

BLUEGRASS INTERNAL MEDICINE PLLC (NPI 1619973682) is a healthcare organization registered as an internal medicine in Owensboro, Kentucky and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Angela Louise Jarvis, President, as its authorized official.

NPPES Registry Identity

NPI1619973682
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUEGRASS INTERNAL MEDICINE PLLC
Location Address3346 PROFESSIONAL PARK DROwensboro, KY 42303-4551
Mailing Address3346 Professional ParkOwensboro, KY 42303-4551 · (270) 685-1066 · Fax (270) 685-0881
Phone(270) 685-1066
Fax(270) 685-0881
Organization SubpartNo
Authorized OfficialAngela Louise JarvisPresident · (270) 685-1066
Enumeration DateJune 24, 2005
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1619973682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3346 PROFESSIONAL PARK DR, Owensboro, KY 42303
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Other Identifiers 2

Medicaid78902251KY
Medicaid65935470KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2168558

Bluegrass Internal Medicine Waived · Owensboro, KY
Active · expires Jul 1, 2027
CLIA Number18D2168558
Laboratory TypeIndependent
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorDr. Angela Jarvis
Laboratory Phone(270) 685-1066
Laboratory LocationBluegrass Internal Medicine Waived3346 Professional Park Dr, Owensboro, KY 42303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DAVID JOSEPH JOHNSON M.D.
Internal Medicine
3346 PROFESSIONAL PARK DR
OWENSBORO, KY 42303
Daviess County (270) 685-1066
PATRICK BRIAN GIPE M.D.
Internal Medicine
3346 PROFESSIONAL PARK DR
OWENSBORO, KY 42303
Daviess County (270) 685-1066
TAMARA ANN NORCIA PA
Physician Assistant
3346 PROFESSIONAL PARK DR
OWENSBORO, KY 42303
Daviess County (270) 685-1066
ANGELA LOUISE JARVIS M.D.
Internal Medicine
3346 PROFESSIONAL PARK DR
OWENSBORO, KY 42303
Daviess County (270) 685-1066
MATHEIS W CARRICO MD
Internal Medicine
3346 PROFESSIONAL PARK DR
OWENSBORO, KY 42303
Daviess County (270) 685-1066

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 Bluegrass Internal Medicine PLLC's NPI number?

The NPI number for Bluegrass Internal Medicine PLLC is 1619973682. It was assigned to this organization in the NPPES registry on June 24, 2005.

Where is Bluegrass Internal Medicine PLLC located?

Bluegrass Internal Medicine PLLC is located at 3346 Professional Park Dr, Owensboro, KY 42303. The listed phone number is (270) 685-1066.

What is Bluegrass Internal Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bluegrass Internal Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2168558) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bluegrass Internal Medicine PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Bluegrass Internal Medicine PLLC 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.

When was this NPI record last updated?

The NPPES record for Bluegrass Internal Medicine PLLC was last updated on March 24, 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.