Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Keith Fackler, ARNP

Individual provider Cardiovascular Disease Physician · NPI 1609564566

Jason Keith Fackler, ARNP is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2022, 4 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
4
Licensed in
FL, KY
In the registry since
2023
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

201 Abraham Flexner Way Ste 1105
Louisville, KY 40202-3841
Phone: (502) 367-4500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 803 E Dixie Ave Fl 34748, Leesburg, FL 34748-6013 — (352) 530-2256

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 3019095 (KY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence APRN11026036 (FL)

Record details

NPI number1609564566
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorNo
NPI enumeratedApril 28, 2023
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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