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

Jessica A Henningsen, PA

Individual provider Physician Assistant · NPI 1699225482

Jessica A Henningsen, PA is a Physician Assistant in Prospect, Kentucky. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
12
Licensed in
KY, OH
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

9301 Dayflower St Ste 100
Prospect, KY 40059-7585
Phone: (502) 326-8588
Fax: (502) 326-8589
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 363A00000X (KY)
Physician Assistant Taxonomy 363A00000X · Licence SP561493 (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 50.004805RX (OH)

Record details

NPI number1699225482
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 5, 2016
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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