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Active NPI 1497267637 Individual Practitioner Male Practitioner

Jonathon Lee Ennis , PA-C

Physician Assistant • Springfield, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathon Ennis, PA-C is a certified Physician Assistant practicing in Springfield, KY. With approximately 9 years of clinical experience since completing medical education in 2017, Jonathon Ennis delivers high-quality medical care to the local community at 805 BARDSTOWN RD.

Jonathon Ennis maintains professional affiliations with Pt Pros, Inc, Baptist Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, testing for presence of drug, read by direct observation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

805 Bardstown Rd

Springfield, KY 40069

Telephone 8594817113
Fax 8594817114
Associated Practice Facility / Clinic
🏢 Family Wellcare Clinic, Pllc Facility NPI 1619496395

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, KY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Springfield, KY (1973 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ennis (9 Years) 9 Yrs
Springfield Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
239 146 $172.00 $73.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
152 128 $243.00 $103.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
149 149 $318.00 $135.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $212.00 $87.82

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100515140 (KY)

Hospital & Practice Group Affiliations

Baptist Health Medical Group Inc

2603 Kentucky Ave, Paducah, KY 420033829

Phone: 2704154800

Pt Pros, Inc

4031 N Dixie Hwy, Elizabethtown, KY 427017873

Phone: 2709824776

Baptist Health Medical Group Inc

3615 E John Rowan Blvd, Bardstown, KY 400043265

Phone: 2707655921

Baptist Health Medical Group Inc

2407 Ring Rd, Elizabethtown, KY 427015938

Baptist Health Medical Group Inc

101 Financial Pl, Elizabethtown, KY 427018464

Phone: 2707065515

Pt Pros, Inc

201 S Main St, Leitchfield, KY 427541425

Phone: 2702301729

Secondary Practice Locations

120 Executive Park

Louisville, KY 402074201

Phone: 5028557200

100 Tates Dr

Springfield, KY 400691598

Phone: 5025070976

100 Tates Dr

Springfield, KY 400691598

Phone: 5025070976

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kristen Ryan , FNP-C

Nurse Practitioner - Family

NPI 1013526417

Family Nurse Practitioner (Certified)

Dr. Imad Haddad , MD

Internal Medicine

NPI 1508880063

Doctor of Medicine (M.D.)

Laura Oldham , APRN, NP-C

Nurse Practitioner - Family

NPI 1932754298

Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 28, 2019

Registered at 805 BARDSTOWN RD, SPRINGFIELD, KY 40069 (Tel: 8594817113)

📍
Updated Business Mailing Address March 28, 2019

Registered at 805 BARDSTOWN RD, SPRINGFIELD, KY 400691513 (Tel: 8594817113)

NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2017

Registered at 1107 CROWN POINTE DR STE 107, ELIZABETHTOWN, KY 427017280 (Tel: 2705063300)

📍
Updated Business Mailing Address October 27, 2017

Registered at 7145 E VIRGINIA ST, EVANSVILLE, IN 477159144 (Tel: 8129627890)

👤
Provider Name / Credentials Updated October 27, 2017

Recorded as JONATHON ENNIS, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497267637
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2017
Last Update: March 28, 2019
Sole Proprietor: No

Mailing Address

805 Bardstown Rd

Springfield, KY 400691513

Phone: 8594817113

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.