Individual ProviderJessica ZoellerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3165 S 2nd St, Louisville, KY 40208-1446(502) 883-7275(615) 425-4200PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Zoeller is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1861031643Provider TypeIndividualFull NameZoeller, JessicaTitleMrs.CredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date12/27/2019Last Updated12/27/2019Contact InformationPractice LocationPractice Address3165 S 2nd St, Louisville, KY 40208-1446Phone(502) 883-7275FaxUnlisted FaxMailing LocationMailing Address2620 Elm Hill Pike, Nashville, TN 37214-3108Phone(615) 425-4200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3014070Kentucky