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

Individual provider Family Nurse Practitioner · NPI 1134664949

Jessica Ann Mattingly, NURSEPRACTITIONER is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2016, 10 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Licensed in
KY
In the registry since
2017
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Practice location Address checks out

170 Dr Arla Way
Louisville, KY 40229
Phone: (502) 955-8480
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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 3010750 (KY)

Record details

NPI number1134664949
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJanuary 3, 2017
Last updated in NPPESJanuary 3, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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