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JENNA LEIGH DISMORE WRINKLES M.D. NPI 1780909952


NPI Information

NPI: 1780909952
Provider Name: JENNA LEIGH DISMORE WRINKLES, M.D.
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
1107 CROWN POINTE DR STE 107
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 506-3300
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Jenna Leigh Dismore Wrinkles, M.D. is a pain medicine anesthesiology in Elizabethtown, KY with 14 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Jenna Leigh Dismore Wrinkles, M.D. NPI is 1780909952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

1107 CROWN POINTE DR STE 107
ELIZABETHTOWN, KY
ZIP 42701-280
Phone: (270) 506-3300
Fax: (270) 506-2843

The NPI 1780909952 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Testing for presence of drug (HCPCS:80305)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance (HCPCS:64635)
  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

The enumeration date for this NPI number is 3/31/2010 and was last updated on 6/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain Medicine01075865AINDIANANo
2207LP2900XAnesthesiologyPain Medicine47108KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15661958OTHERAETNA PIN
2000000963791OTHERANTHEM PIN
32355628OTHERCIGNA PROVIDER ID NUMBER
47100167720MEDICAIDKENTUCKY
5201317930MEDICAIDINDIANA
6P01957674OTHERINDIANARAILROAD MEDICARE
71232438OTHERKENTUCKYWELLCARE OF KY PROVIDER ID NUMBER
8CS1612000141OTHERCARESOURCE ID
9339847KYIPOTHERKENTUCKYAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
10005625439OTHERUNITED HEALTHCARE PROVIDER ID NUMBER
11P01590218OTHERKENTUCKYRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.