Individual provider Active NPI

Jaclyn Thuman, APRN

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1053916528
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000032233 Issued in TN
Practice address
1540 Member LN
Knoxville, TN 37909-1215
Phone
(865) 579-0552
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11010333 FL
Family Nurse Practitioner 363LF0000X 0000032233 TN Primary

Addresses

Primary practice location

1540 Member LN
Knoxville, TN 37909-1215

Mailing address

607 Duncan Hollow Rd
Harriman, TN 37748-7921
Phone (386) 631-5047

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
I20221206000564 TN Practitioner - Nurse Practitioner 9931511912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Consultants of East Tennessee, PLLCGroup PAC ID 3173424298, 18 clinicians

Practice addresses (Care Compare)

575 Oak Ridge Tpke
Suite 110
Oak Ridge, TN 37830-7173
Phone (865) 579-0552

Hospital & facility affiliations

  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11010333FLMDFamily Nurse Practitioner
0000032233TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Institute PC CurrentSince Sep 23, 2012 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Jul 15, 2024 Accepting new patients
Pain Consultants of East Tennessee, PLLC CurrentSince Sep 12, 2022 Accepting new patients

Locations

1820 Roane State Hwy
Harriman, TN 37748
Phone (865) 717-4468

220 Fort Sanders West Blvd
Ste 308
Knoxville, TN 37922
Phone (865) 579-0552

1540 Member Ln
Ste 100
Knoxville, TN 37909
Phone (865) 579-0552

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

575 Oak Ridge Tpke
Ste 110
Oak Ridge, TN 37830
Phone (865) 579-0552

234 E Emory Rd
Powell, TN 37849
Phone (865) 761-7110

Interoperability endpoints

  • Direct secure messaging: jaclyn.thuman@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

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 2

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": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1053916528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DUNCAN HOLLOW RD",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377487921",
            "telephone_number": "386-631-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 MEMBER LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091215",
            "telephone_number": "865-579-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUMAN",
        "first_name": "JACLYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000032233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.