MRS. JENNIFER L VERTREES APRN
NPI 1801228317
Nurse Practitioner - Family in Sonora, KY

Q: What is Jennifer Vertrees's NPI number?

The NPI number for Jennifer Vertrees is 1801228317. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Q: What is Jennifer Vertrees's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Vertrees was last updated on March 24, 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.

Active since August 07, 2013PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

11969 S DIXIE HWY, SONORA, KY 42776(270) 369-9706 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mrs. Jennifer L Vertrees Aprn NPPES

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

MRS. JENNIFER L VERTREES APRN (NPI 1801228317) is an individual family provider in Sonora, Kentucky, licensed in Kentucky (3008105) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1801228317

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JENNIFER L VERTREESCredential: APRN

Location Address11969 S DIXIE HWYSonora, KY 42776-9739

Mailing Address11969 S Dixie HwySonora, KY 42776-9739 · (270) 369-9706 · Fax (270) 706-1914

Phone(270) 369-9706

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 7, 2013

Last NPPES UpdateMarch 24, 2023

NPPES CertifiedMarch 23, 2023

✔ NPI 1801228317 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 · 3008105

11969 S DIXIE HWY, Sonora, KY 42776

Open in Google Maps ↗

Other Identifiers 2

Medicaid64315781KY

Other207R00000XTaxonomy

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

Mrs. Jennifer L Vertrees 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 ID4789828930

PECOS Enrollment IDI20130910000582

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 Vertrees reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc

Same address

Rural Health

11969 S DIXIE HWY
Sonora, KY 42776

Reassigned Medicare billing, Kentucky enrollment
Also billed through NPI 1093338527 (Kentucky)
1,441 clinicians in this Medicare group

NPI 1033714571 (270) 668-5439

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

19 services15 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

16 services14 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

16 services14 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42776 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

100%31 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier19 claims19 services$5.66 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims1,440 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers19 claims960 services$0.76 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers17 claims17 services$24.47 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 4

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

BAPTIST HEALTH MEDICAL GROUP INC

Clinic/Center (Rural Health)

11969 S DIXIE HWY
SONORA, KY 42776

Hardin County (270) 668-5439

KELLEY CARRICO-WELCH ARNP

Nurse Practitioner

11969 S DIXIE HWY
SONORA, KY 42776

Hardin County (270) 369-9706

FAMILY CARE CENTER SOUTH HARDIN

Family Medicine

11969 S DIXIE HWY
SONORA, KY 42776

Hardin County (270) 706-1023

DR. BONNIE SUSANNE BROWN M.D.

Family Medicine

11969 S DIXIE HWY
SONORA, KY 42776

Hardin County (270) 369-9706

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 Vertrees's NPI number?

The NPI number for Jennifer Vertrees is 1801228317. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Where is Jennifer Vertrees located?

Jennifer Vertrees practices at 11969 S Dixie Hwy, Sonora, KY 42776. The listed phone number is (270) 369-9706.

What is Jennifer Vertrees's specialty?

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

Is Jennifer Vertrees enrolled in Medicare?

Yes. Jennifer Vertrees 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 Vertrees's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Vertrees reassigns Medicare benefits to Baptist Health Medical Group Inc (Sonora, 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 Vertrees's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Vertrees accept?

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

According to CMS data, Jennifer Vertrees is affiliated with Baptist Health Hardin.

When was this NPI record last updated?

The NPPES record for Jennifer Vertrees was last updated on March 24, 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.