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JACKIE STETHEM
NPI 1740848324
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment
3050 RIO DOSA DR, LEXINGTON, KY 40509(859) 269-2325 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2019, May 30, 2019 (2 updates tracked since 2019).

About Jackie Stethem NPPES

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

JACKIE STETHEM (NPI 1740848324) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (3013689) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740848324
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACKIE STETHEM
Location Address3050 RIO DOSA DRLexington, KY 40509-1540
Mailing Address3050 Rio Dosa DrLexington, KY 40509-1540 · (859) 269-2325
Phone(859) 269-2325
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 30, 2019
Last NPPES UpdateOctober 9, 20192 updates tracked since enumeration
✔ NPI 1740848324 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
License✔ Licensed in KY · 3013689
3050 RIO DOSA DR, Lexington, KY 40509
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jackie Stethem 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 ID2062844905
PECOS Enrollment IDI20191115000215
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 Reassignments

2

Medicare enrollment records show Jackie Stethem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ridge Outpatient Counseling, LLC
Same address
Psychiatric Unit
3050 RIO DOSA DR
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 22 clinicians in this Medicare group
NPI 1922214956 (859) 269-2325
Bluegrass Counseling & Trauma Services
0.6 mi
Mental Health
503 DARBY CREEK RD STE C
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 8 clinicians in this Medicare group
NPI 1366197147 (859) 368-2567

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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 20

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

MELANIE EHR LCSW
Social Worker (Clinical)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 268-6400
MS. AMY L WRIGHT LCSW
Social Worker (Clinical)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 269-2325
MRS. KATHERYN ANNE HALK MSW, CSW
Social Worker (Clinical)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 269-2325
JOANNE KRUER LCSW
Social Worker (Clinical)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (800) 968-6866
JOSEPH F DAVIS III
Counselor (Addiction (Substance Use Disorder))
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 269-2325
SONIA TAYLOR
Nurse Practitioner (Psychiatric/Mental Health)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 269-2325
MRS. HAMPTON VAUGHAN WHITTINGHAM APRN
Nurse Practitioner (Psychiatric/Mental Health)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 269-2325
LESLIE MARIE MAYNARD APRN
Nurse Practitioner (Psychiatric/Mental Health)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 268-6410

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 Jackie Stethem's NPI number?

The NPI number for Jackie Stethem is 1740848324. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Jackie Stethem located?

Jackie Stethem practices at 3050 Rio Dosa Dr, Lexington, KY 40509. The listed phone number is (859) 269-2325.

What is Jackie Stethem's specialty?

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

Is Jackie Stethem enrolled in Medicare?

Yes. Jackie Stethem 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 organizations bill Medicare for Jackie Stethem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Stethem reassigns Medicare benefits to 2 organizations: Ridge Outpatient Counseling, LLC (Lexington, KY) and Bluegrass Counseling & Trauma Services (Lexington, KY). Each 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 Jackie Stethem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackie Stethem accept?

Health plans from Anthem Blue Cross and Blue Shield list Jackie Stethem 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 Jackie Stethem was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.