JEFFREY PRATER NP
NPI 1659401461
Nurse Practitioner - Psychiatric/Mental Health in Elizabethtown, KY

Q: What is Jeffrey Prater's NPI number?

The NPI number for Jeffrey Prater is 1659401461. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Jeffrey Prater's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Prater was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment

110 HELM ST, ELIZABETHTOWN, KY 42701(270) 312-3861 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2024, Oct 11, 2019 (2 updates tracked since 2019).

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About Jeffrey Prater Np NPPES

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

JEFFREY PRATER NP (NPI 1659401461) is an individual psychiatric/mental health provider in Elizabethtown, Kentucky, licensed in Kentucky (3007768) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Elizabethtown, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1659401461

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJEFFREY PRATERCredential: NP

Location Address110 HELM STElizabethtown, KY 42701

Mailing Address10101 Linn Station Rd Ste 600Louisville, KY 40223-3818 · (502) 589-8600

Phone(270) 312-3861

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 7, 2007

Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1659401461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in KY · 3007768✔ Licensed in IN · 71003451A

110 HELM ST, Elizabethtown, KY 42701

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Secondary Practice Location 1

Location 1110 Helm StElizabethtown, KY 42701 · Phone (270) 312-3861

Other Identifiers 1

Other71003451AIN · Indiana Lic

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 ›

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

Jeffrey Prater Np 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 ID9537302047

PECOS Enrollment IDI20130903000434

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

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 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.

60 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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.

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.

TONYA NICOLE SELLINGER PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

110 HELM ST
ELIZABETHTOWN, KY 42701

Hardin County (270) 506-2967

MARIAN GRANT LPCA

Counselor (Professional)

110 HELM ST
ELIZABETHTOWN, KY 42701

Hardin County (270) 506-2967

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 Jeffrey Prater's NPI number?

The NPI number for Jeffrey Prater is 1659401461. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Jeffrey Prater located?

Jeffrey Prater practices at 110 Helm St, Elizabethtown, KY 42701. The listed phone number is (270) 312-3861.

What is Jeffrey Prater's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jeffrey Prater enrolled in Medicare?

Yes. Jeffrey Prater 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 Jeffrey Prater accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Jeffrey Prater 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 Jeffrey Prater was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.