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JESSICA KAVANAUGH NP
NPI 1629553870
Nurse Practitioner - Family in Washington, IN

Active since October 03, 2018Opted out of Medicare · through Oct 1, 2027
102 E VAN TREES ST, WASHINGTON, IN 47501(812) 617-6005(812) 286-5009 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2023, Jan 2, 2021, Oct 3, 2018 (3 updates tracked since 2018).

About Jessica Kavanaugh Np NPPES

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

JESSICA KAVANAUGH NP (NPI 1629553870) is an individual family provider in Washington, Indiana, licensed in Indiana (28209245A) and active in the NPI registry since October 2018. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1629553870
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA KAVANAUGHCredential: NP
Location Address102 E VAN TREES STWashington, IN 47501-2943
Mailing Address102 E Van Trees StWashington, IN 47501-2943 · (812) 617-6005 · Fax (812) 286-5009
Phone(812) 617-6005
Fax(812) 286-5009
Sole ProprietorNo
Enumeration DateOctober 3, 2018
Last NPPES UpdateJanuary 20, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1629553870 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 IN · 28209245A
102 E VAN TREES ST, Washington, IN 47501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Kavanaugh Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47501 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

MOVEMENT CLINIC, LLC
Chiropractor
102 E VAN TREES ST
WASHINGTON, IN 47501
Daviess County (812) 254-2203
MOOV, LLC
Chiropractor
102 E VAN TREES ST
WASHINGTON, IN 47501
Daviess County (812) 254-2203
DR. JESS THOMAS BROWER DC
Chiropractor
102 E VAN TREES ST
WASHINGTON, IN 47501
Daviess County (812) 254-2203
MONTANA ELIZABETH EDWARDS
Occupational Therapy Assistant
102 E VAN TREES ST
WASHINGTON, IN 47501
Daviess County (812) 698-5422
INNOVATION THERAPY, LLC
Clinic/Center
102 E VAN TREES ST
WASHINGTON, IN 47501
Daviess County (812) 698-5422

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 Jessica Kavanaugh's NPI number?

The NPI number for Jessica Kavanaugh is 1629553870. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Jessica Kavanaugh located?

Jessica Kavanaugh practices at 102 E Van Trees St, Washington, IN 47501. The listed phone number is (812) 617-6005.

What is Jessica Kavanaugh's specialty?

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

Is Jessica Kavanaugh enrolled in Medicare?

No. Jessica Kavanaugh has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Kavanaugh accept?

Health plans from CareSource list Jessica Kavanaugh 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 Jessica Kavanaugh was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.