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WILLOW JORDAN DOVE PA
NPI 1679467963
Physician Assistant in Louisville, KY

Active since June 03, 2025PECOS EnrolledAccepts Medicare Assignment
1920 MUNCIE AVE APT 7, LOUISVILLE, KY 40206(740) 501-5648 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willow Jordan Dove Pa NPPES

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

WILLOW JORDAN DOVE PA (NPI 1679467963) is an individual physician assistant in Louisville, Kentucky and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679467963
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameWILLOW JORDAN DOVECredential: PA
Location Address1920 MUNCIE AVE APT 7Louisville, KY 40206-2446
Mailing Address1920 Muncie Ave Apt 7Louisville, KY 40206-2446 · (740) 501-5648
Phone(740) 501-5648
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1679467963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1920 MUNCIE AVE APT 7, Louisville, KY 40206
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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

Willow Jordan Dove Pa 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 ID7517459936
PECOS Enrollment IDI20251124001634
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.

Hospital Affiliations CMS Care Compare

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40206 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.

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 Willow Dove's NPI number?

The NPI number for Willow Dove is 1679467963. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Willow Dove located?

Willow Dove practices at 1920 Muncie Ave Apt 7, Louisville, KY 40206. The listed phone number is (740) 501-5648.

What is Willow Dove's specialty?

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

Is Willow Dove enrolled in Medicare?

Yes. Willow Dove 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.

Is Willow Dove affiliated with any hospitals?

According to CMS data, Willow Dove is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Willow Dove was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.