Jared C Abel, NP
Individual provider Active NPI Family Nurse Practitioner · Johnson City, TN
NPI 1023529401 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1023529401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 23304 (TN)
- Practice address
- 301 Med Tech Pkwy Ste 120
Johnson City, TN 37604-2631 - Phone
- (423) 794-5590
- Fax
- (423) 794-5877
- NPI assigned
- Oct 12, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Franklin Healthcare Associates, PLLC
Practice addresses (Care Compare)
313 Princeton Rd
Suite 3
Johnson City, TN 37601-2000
Phone (423) 282-5435
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180103001404 | TN | Practitioner - Nurse Practitioner | 0143588392 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 194315 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Franklin Healthcare Associates PLLC | Current |
Accepting new patients | |
| Wellmont Medical Associates, Inc. | Past |
Accepting new patients |
Locations
1021 Coolidge St
Ste 4
Greeneville, TN 37743
Phone (423) 237-6900
301 Med Tech Pkwy
Ste 120
Johnson City, TN 37604
Phone (423) 794-5590
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
Interoperability endpoints
- jaredabel@sofha.allscriptsdirect.net
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 194315 | TN | |
| Family Nurse Practitioner | 363LF0000X | 23304 | TN | Yes |
Addresses
Primary practice location
301 Med Tech Pkwy Ste 120
Johnson City, TN 37604-2631
Mailing address
PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 794-5590
Other practice location 1
378 Marketplace Dr Ste 5
Johnson City, TN 37604-2361
Phone (423) 282-0751
Other providers in Johnson City, TN
- Aaron Free LPC LLC
- Aaron W. Perkins Jr.
- Brian Vaughn Abbott
- Melanie A Abbott
- Ashar Abdullah
- David Abichahine
- Bruce A Abkes
- John Paul Abner
- Pamela Faith Abner
- Mouna Abouamara
All providers in Johnson City, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.