Lisa Ann Jaycox, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

31303 Issued in TN

Practice address

3001 Lake Brook Blvd Ste 101
Knoxville, TN 37909-3761

Phone

(865) 374-0600

NPI assigned

Mar 5, 2012

Last updated

Oct 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL, MT, TN3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant HomecareGroup PAC ID 0749282010, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
• Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
• Roane Medical Center Hospital, Harriman, TN, CCN 440031
• Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Covenant Homecare

  dba Covenant Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Knoxville, TN
  • NPI 1649540170
  Medicare reassignment Care Compare group NPD
• Ipc Pac Healthcare Services of Tennessee PC

  • Internal Medicine Physician
  • Bristol, TN
  • NPI 1104277656

  Nurse Practitioner

  Medicare reassignment NPD
• Cogent Healthcare of Montana P C

  • Internal Medicine Physician
  • Missoula, MT
  • NPI 1053569525

  Nurse Practitioner

  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  TN

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Montana - TCS PC

  • Internal Medicine Physician
  • Butte, MT
  • NPI 1902567183

  Nurse Practitioner

  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  TN

  Medicare reassignment NPD
• Caris Palliative Care LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Columbia, TN
  • NPI 1982178182
  Medicare reassignment
• Covenant Homecare

  dba Covenant Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Oak Ridge, TN
  • NPI 1174885289
  NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• Covenant Homecare

  • Home Health Agency
  • Knoxville, TN
  • NPI 1982690640
  NPD (past)

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

• Fort Loudoun Medical Center

  • General Acute Care Hospital
  • Lenoir City, TN
  • NPI 1609860659
  Care Compare affiliation
• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  Care Compare affiliation
• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation
• Parkwest Medical Center

  dba Peninsula Div Parkwest MC

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  Care Compare affiliation
• Roane County Medical Center

  dba Covenant Health Roane

  • General Acute Care Hospital
  • Harriman, TN
  • NPI 1700036696
  Care Compare affiliation

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1053685362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 LAKE BROOK BLVD STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093761",
            "telephone_number": "865-374-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 LAKE BROOK BLVD STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093761",
            "telephone_number": "865-374-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYCOX",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9208812",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9208812",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "31303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020717700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "TGWF7",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IY900Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mea Jasch, BEHAVIORAL TECH
• Jason J. Hall, MD, PLLC
• Robert Jauregui Jr., PA-C
• Maria C Javier, M.D.
• Jay S. Desvaux, D.D.S.
• Jennifer Lynne Jaynes, DO
• JCK Holdings LLC (Square One Restorative Health)
• Terry Jeanne, L AC
• Jeannine Couvertiere, SLP Services
• Trevor Reid Jeans

• Gerontology Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Gerontology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.