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

Jeremy Michael Payne, APRN

Individual provider Family Nurse Practitioner · NPI 1366058422

Jeremy Michael Payne, APRN is a Nurse Practitioner in Owensboro, Kentucky. Qualified in 2019, 7 years ago. Practices with Centennial Heart LLC, a 121-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3110 Fairview Dr
Owensboro, KY 42303-2175
Phone: (270) 314-0733
Fax: (270) 240-1227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3013528 (KY)

Record details

NPI number1366058422
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Centennial Heart Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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