Individual provider Active NPI

Jennifer L Berry, ANP-BC

  • Nurse Practitioner
  • Powell, TN
National Provider Identifier
1144544636
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14970 Issued in TN
Practice address
7650 Dannaher Dr Ste 100
Powell, TN 37849-4066
Phone
(865) 637-9330
Fax
(865) 544-1861
NPI assigned
Mar 26, 2010
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20100001103 TN
Nurse Practitioner 363L00000X 14970 TN Primary
Registered Nurse 163W00000X 158618 TN

Addresses

Primary practice location

7650 Dannaher Dr Ste 100
Powell, TN 37849-4066

Mailing address

900 E Hill Ave Ste 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

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
I20111019000287 TN Practitioner - Nurse Practitioner 6305018276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 Oak Ridge Tpke
Suite 600
Oak Ridge, TN 37830-6957
Phone (865) 444-3050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.8 of 100Reported as group
Quality
92.22
Promoting interoperability
0
Improvement activities
40
Cost
68.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158618TNMDRegistered Nurse
20100001103TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Oct 3, 2011 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 3, 2011 Accepting new patients
Tennessee Cancer Specialists PLLC CurrentSince Oct 17, 2017 Accepting new patients
Tennessee Cancer Specialist PLLC CurrentSince Oct 17, 2017 Accepting new patients
Tennessee Cancer Specialists PLLC Past Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1415 Old Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 934-5806

2607 Kingston Pike
Ste 100
Knoxville, TN 37919
Phone (865) 693-2255

6016 Brookvale Ln
Ste 200
Knoxville, TN 37919
Phone (865) 862-0998

900 E Hill Ave
Ste 230
Knoxville, TN 37915
Phone (865) 862-0998

9957 Sherrill Blvd
Knoxville, TN 37932
Phone (865) 639-2255

420 W Morris Blvd
Ste 410
Morristown, TN 37813
Phone (423) 587-0491

800 Oak Ridge Tpke
Ste A600
Oak Ridge, TN 37830
Phone (865) 444-3050

7551 Dannaher Dr
Powell, TN 37849
Phone (865) 637-9330

7650 Dannaher Dr
Ste 100
Powell, TN 37849
Phone (865) 637-9330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1144544636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152565",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 DANNAHER DR STE 100",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494066",
            "telephone_number": "865-637-9330",
            "fax_number": "865-544-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "20100001103",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "14970",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "158618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.