Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jenna Leigh Dismore Wrinkles, M.D.

Pain Medicine (Anesthesiology) Physician in Elizabethtown, KY · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780909952

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Jenna Leigh Dismore Wrinkles

Credential M.D.

Sex Female

Practice address 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY, 42701

Phone (270) 506-3300

Fax (270) 506-2843

Enumeration date Mar 31, 2010

Last updated in NPPES Jun 9, 2022

Taxonomy & licenses

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License 01075865A (IN) Secondary

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License 47108 (KY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
P01957674	Other	IN	RAILROAD MEDICARE
1232438	Other	KY	WELLCARE OF KY PROVIDER ID NUMBER
201317930	Medicaid	IN	-
P01590218	Other	KY	RAILROAD MEDICARE
5661958	Other	-	AETNA PIN
CS1612000141	Other	-	CARESOURCE ID
005625439	Other	-	UNITED HEALTHCARE PROVIDER ID NUMBER
000000963791	Other	-	ANTHEM PIN
339847KYIP	Other	KY	AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
2355628	Other	-	CIGNA PROVIDER ID NUMBER
7100167720	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Jenna Dismore Wrinkles's NPI record?

Cross-check NPI 1780909952 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1780909952 active?

Yes, as of the latest NPPES snapshot, NPI 1780909952 is active (record last updated 2022-06-09).

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-09.