Individual provider Active NPI

Sara A Jones, ANP

  • Adult Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1003057167
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
13961 Issued in TN
Practice address
1926 Alcoa Hwy Ste 410
Knoxville, TN 37920-1545
Phone
(865) 305-8780
Fax
(865) 305-8199
NPI assigned
Mar 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 13961 TN Primary

Addresses

Primary practice location

1926 Alcoa Hwy Ste 410
Knoxville, TN 37920-1545

Mailing address

PO Box 440509
Nashville, TN 37244-0509
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
1514121MedicaidTN

Other names 1

  • Sara A Fredericksen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000697 TN Practitioner - Nurse Practitioner 4981751302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1926 Alcoa Hwy
Suite 410
Knoxville, TN 37920-1545
Phone (865) 305-6333

1926 Alcoa Hwy 410
Knoxville, TN 37920-1512
Phone (865) 544-9218

1926 Alcoa Hwy 410
Knoxville, TN 37920-1545
Phone (865) 544-9218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Current Accepting new patients
University Health System, Inc CurrentSince Sep 1, 2018 Accepting new patients
University Health System Inc CurrentSince Sep 1, 2018 Accepting new patients
Premier Surgical Associates, PLLC Past Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1926 Alcoa Hwy
Ste 410
Knoxville, TN 37920
Phone (865) 305-5622

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71045
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61117

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1003057167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440509",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440509",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 ALCOA HWY STE 410",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201545",
            "telephone_number": "865-305-8780",
            "fax_number": "865-305-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SARA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "13961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514121",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "FREDERICKSEN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.