NICOLA CLAIRE JONES APRN
NPI 1649559725
Nurse Practitioner - Family in Louisville, KY
NPI Status: Active since August 08, 2011
Contact Information
210 E GRAY ST
SUITE 601
LOUISVILLE, KY
ZIP 40202
Phone: (502) 588-3600
Fax: (502) 588-9536
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
About NICOLA JONES
This page provides the complete NPI Profile along with additional information for Nicola Jones, a provider established in Louisville, Kentucky with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1649559725 assigned on August 2011. The practitioner's primary taxonomy code is 363LF0000X with license number 3007070 (KY). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1649559725
- Provider Name
- NICOLA CLAIRE JONES APRN
- Other Name
- NICOLA CLAIRE DORSEY
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 210 E GRAY ST SUITE 601 LOUISVILLE, KY 40202
- Location Phone
- (502) 588-3600
- Location Fax
- (502) 588-9536
- Mailing Address
- PO BOX 909 LOUISVILLE, KY 40201
- Mailing Phone
- (502) 588-3600
- Mailing Fax
- (502) 588-9536
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-08-2011
- Last Update Date
- 10-20-2020
- Code Navigator
A nurse practitioner (NP) like Nicola Jones is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 3007070
- License State
- KY
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201146460 | MEDICAID (05) | IN | |
| 71003109A | OTHER (01) | IN | LICENSE |
| 3004444 | OTHER (01) | KY | LICENSE |
| 7100181520 | MEDICAID (05) | KY |
Medicare Participation & PECOS Enrollment Status
Nicola Jones is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 40202 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.24
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $20.56
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.94
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $23.48
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 5 | 5 | 9 | 7 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 10 | 5 | 18 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 0 + 5 + 1 + 8 + 7 + 4 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1649559725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447243167 | DR. HOBERT L PENCE MD Individual | Allergy & Immunology | 210 E GRAY ST STE 1000 LOUISVILLE, KY 40202 (502) 629-3320 |
| 1194714998 | KRISTIE L HANKINS APRN Individual | Nurse Practitioner | 210 E GRAY ST SUITE 1002 LOUISVILLE, KY 40202 (502) 584-2029 |
| 1447236237 | SPINE SURGERY, PSC Organization | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 210 E GRAY ST SUITE 601 LOUISVILLE, KY 40202 (502) 585-2300 |
| 1225014012 | MRS. CYNTHIA LORRAINE PEARSON I NURSE PRACTITIONER Individual | Registered Nurse (Orthopedic) | 210 E GRAY ST SUITE 601 LOUISVILLE, KY 40202 (502) 585-2300 |
| 1922084714 | MS. TONI L BRIZENDINE I SURGICAL TECH Individual | 210 E GRAY ST SUITE 601 LOUISVILLE, KY 40202 (502) 585-2300 | |
| 1093771164 | NEUROSURGICAL INSTITUTE OF KENTUCKY Organization | Neurological Surgery | 210 E GRAY ST SUITE 1105 LOUISVILLE, KY 40202 (502) 583-1697 |
| 1629014675 | DR. KAREN AVANESOV D.O Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 210 E GRAY ST SUITE 900 LOUISVILLE, KY 40202 (502) 584-7525 |
| 1316971393 | SPINE INSTITUTE PSC Organization | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 210 E GRAY ST # 900 LOUISVILLE, KY 40202 (502) 584-7525 |
| 1649299017 | DAVID SELIGSON M.D. Individual | Orthopaedic Surgery | 210 E GRAY ST 900 LOUISVILLE, KY 40202 (502) 584-8002 |
| 1144231465 | COMMONWEALTH CARDIOLOGISTS PSC Organization | Internal Medicine (Cardiovascular Disease) | 210 E GRAY ST SUITE 1002 LOUISVILLE, KY 40202 (502) 584-2029 |
| 1467568162 | THE LOUISVILLE BONE & JOINT CENTER Organization | Orthopaedic Surgery | 210 E GRAY ST STE 701 LOUISVILLE, KY 40202 (502) 562-6021 |
| 1417083437 | UNIVERSITY PEDIATRIC ENDOCRINOLOGY, LLC Organization | Pediatrics (Pediatric Endocrinology) | 210 E GRAY ST STE 803 LOUISVILLE, KY 40202 (502) 629-8821 |
| 1255467239 | UNIVERSITY PEDIATRICS INFECTIOUS DISEASES, LLC Organization | Pediatrics (Pediatric Infectious Diseases) | 210 E GRAY ST SUITE 802 LOUISVILLE, KY 40202 (502) 852-8632 |
| 1619169612 | UNIVERSITY PEDIATRIC RHEUMATOLOGY OF KENTUCKY LLC Organization | Pediatrics (Pediatric Rheumatology) | 210 E GRAY ST SUITE 1000 LOUISVILLE, KY 40202 (502) 629-7702 |
| 1255598173 | UNIVERSITY PEDIATRICS FOUNDATION, INC. Organization | Allergy & Immunology | 210 E GRAY ST SUITE 1000 LOUISVILLE, KY 40202 (502) 629-3320 |
| 1316191026 | ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PLC Organization | Dentist (Oral and Maxillofacial Surgery) | 210 E GRAY ST SUITE 800 LOUISVILLE, KY 40202 (502) 582-3750 |
| 1790924363 | HOLLY N WALKER ARNP Individual | Nurse Practitioner (Pediatrics) | 210 E GRAY ST SUITE 1105 LOUISVILLE, KY 40202 (502) 583-1609 |
| 1518235704 | UNIVERSITY PEDIATRICS FOUNDATION, INC. Organization | Pediatrics (Adolescent Medicine) | 210 E GRAY ST STE. 802 LOUISVILLE, KY 40202 (502) 852-6633 |
| 1255697983 | UNIVERSITY OF LOUISVILLE PHYSICIANS Organization | Pediatrics (Pediatric Nephrology) | 210 E GRAY ST SUITE 1000 LOUISVILLE, KY 40202 (502) 629-3972 |
| 1598021222 | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC. Organization | Pediatrics (Pediatric Gastroenterology) | 210 E GRAY ST SUITE 802 LOUISVILLE, KY 40202 (502) 852-7670 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649559725, enumerated in the NPI registry as an "individual" on August 08, 2011
The provider is located at 210 E Gray St Suite 601 Louisville, Ky 40202 and the phone number is (502) 588-3600
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.24 with an average copayment of $20.56 for new patient appointments. Established patients should expect a typical charge of $93.94 and an average copayment of 23.48. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 08, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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