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JENNIFER L GONDOLY APRN
NPI 1629540711
Nurse Practitioner - Family in Louisville, KY

Active since December 30, 2018PECOS EnrolledAccepts Medicare Assignment
2301 TERRA CROSSING BLVD STE 103, LOUISVILLE, KY 40245(502) 410-0191(502) 890-5177 Get Directions Write a Review

NPPES record last updated: February 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 16, 2025, Aug 14, 2023, Oct 23, 2019 and 1 more (4 updates tracked since 2018).

About Jennifer L Gondoly Aprn NPPES

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

JENNIFER L GONDOLY APRN (NPI 1629540711) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3012156) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lagrange, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629540711
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER L GONDOLYCredential: APRN
Location Address2301 TERRA CROSSING BLVD STE 103Louisville, KY 40245-3909
Mailing Address17108 Hillrock PlLouisville, KY 40245-7560 · (517) 449-1677
Phone(502) 410-0191
Fax(502) 890-5177
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 30, 2018
Last NPPES UpdateFebruary 16, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2025
✔ NPI 1629540711 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 · 3012156
2301 TERRA CROSSING BLVD STE 103, Louisville, KY 40245
Open in Google Maps ↗

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

Jennifer L Gondoly 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 ID6800127093
PECOS Enrollment IDI20191021001325
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 Reassignment

Medicare enrollment records show Jennifer Gondoly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Radiant
Same address
General Practice
2301 TERRA CROSSING BLVD, STE 103
Louisville, KY 40245
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group
NPI 1831555143 (304) 687-4204

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 3

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.
118 services55 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.
49 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40245 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers49 claims248 services$5.92 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers17 claims47 services$1.01 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
14 suppliers39 claims5,820 services$7.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

AVIAN SCHAFER APRN
Nurse Practitioner (Family)
2301 TERRA CROSSING BLVD STE 103
LOUISVILLE, KY 40245
Jefferson County (502) 410-0191
ROBIN SCHMALZ APRN
Nurse Practitioner (Acute Care)
2301 TERRA CROSSING BLVD STE 103
LOUISVILLE, KY 40245
Jefferson County (502) 410-0191

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 Jennifer Gondoly's NPI number?

The NPI number for Jennifer Gondoly is 1629540711. It was assigned to this individual provider in the NPPES registry on December 30, 2018.

Where is Jennifer Gondoly located?

Jennifer Gondoly practices at 2301 Terra Crossing Blvd Ste 103, Louisville, KY 40245. The listed phone number is (502) 410-0191.

What is Jennifer Gondoly's specialty?

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

Is Jennifer Gondoly enrolled in Medicare?

Yes. Jennifer Gondoly 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 organization bills Medicare for Jennifer Gondoly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Gondoly reassigns Medicare benefits to Radiant (Louisville, KY). The 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 Jennifer Gondoly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Gondoly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Jennifer Gondoly 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 Jennifer Gondoly affiliated with any hospitals?

According to CMS data, Jennifer Gondoly is affiliated with Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Jennifer Gondoly was last updated on February 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.