Jerica Kristin Nicole Robertson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0000005417 Issued in TN

Practice address

11606 Chapman Hwy Ste 2
Seymour, TN 37865-5270

Phone

(865) 609-6980

Fax

(865) 609-6982

NPI assigned

Mar 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uhs Primary Care LLCGroup PAC ID 1153849856, 92 clinicians

Ut Urgent Care Centers, LLCGroup PAC ID 5597015065, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of TN Medical Center Home Care Services Home health agency, Knoxville, TN, CCN 447230
• University Health System, Inc Hospital, Knoxville, TN, CCN 440015
• Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

Merit-based Incentive Payment System (MIPS)

Final score

96.48 of 100Reported as apm

Quality

86.23

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimhealthcenter.jericarobertson@156741.advancedmd-direct.com

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.

• Uhs Primary Care LLC

  • Internal Medicine Physician
  • Lenoir City, TN
  • NPI 1770381196
  Medicare reassignment Care Compare group NPD
• Ut Urgent Care Centers LLC

  • Family Medicine Physician
  • Seymour, TN
  • NPI 1801391453
  Medicare reassignment Care Compare group
• University Health System, Inc

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1790738763
  Medicare reassignment NPD
• Uhs Primary Care LLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1265328025
  NPD
• Uhs Primary Care LLC

  • Family Medicine Physician
  • Seymour, TN
  • NPI 1558169821
  NPD
• University Health System Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Knoxville, TN
  • NPI 1306609748
  NPD
• University Health System, Inc

  • Family Medicine Physician
  • Seymour, TN
  • NPI 1962680223
  NPD
• Uhs Primary Care LLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1528865656
  NPD (past)

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

• Leconte Medical Center

  • General Acute Care Hospital
  • Sevierville, TN
  • NPI 1528052578
  Care Compare affiliation
• University Health System, Inc.

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation
• University of TN Medical Center Home Care Services, LLC

  • Home Health Agency
  • Knoxville, TN
  • NPI 1346460953
  Care Compare affiliation

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1104453364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11606 CHAPMAN HWY STE 2",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655270",
            "telephone_number": "865-609-6980",
            "fax_number": "865-609-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 CHAPMAN HWY STE 2",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655270",
            "telephone_number": "865-609-6980",
            "fax_number": "865-609-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JERICA",
        "middle_name": "KRISTIN NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "0000005417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R Jeffrey Wallace DDS PLLC
• Catherine Rains, APRN
• Abigail Grace Ratliff, PHARMD
• Mark Reddington, D.O.
• Sabrina Leanne Ridge
• Jillian Nichole Roehm, OTR/L
• Carlene Elisabeth Rogers
• Rhett Joseph Rousseau, PA-C
• Garrett Rowe, MD
• Susan Rowlett

• Family Medicine Physician in Seymour, TN
• Providers in Seymour, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.