Individual provider Active NPI

Jaclyn Beth Van Nes, M.D.

  • Obstetrics & Gynecology Physician
  • Knoxville, TN
National Provider Identifier
1154592897
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000043229 Issued in TN
Practice address
1928 Alcoa Hwy
Medical Building B Suite 300
Knoxville, TN 37920-1502
Phone
(865) 305-9799
Fax
(865) 305-9752
NPI assigned
Mar 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD0000043229 TN Primary

Addresses

Primary practice location

1928 Alcoa Hwy
Medical Building B Suite 300
Knoxville, TN 37920-1502

Mailing address

1928 Alcoa Hwy
Medical Building B Suite 300
Knoxville, TN 37920-1502
Phone (865) 305-9799

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000034 TN Practitioner - Obstetrics/Gynecology 8628141793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of TennesseeGroup PAC ID 3072421213, 64 clinicians
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1928 Alcoa Hwy
Knoxville, TN 37920-1505

1928 Alcoa Hwy
Suite 127
Knoxville, TN 37920-1522
Phone (865) 305-8787

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

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

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000043229TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Current Accepting new patients
University Health System, Inc Obstetrics & Gynecology CurrentSince Sep 1, 2008 Accepting new patients
University of Tennessee CurrentSince Aug 1, 2008 Accepting new patients
University of Tennessee CurrentSince Aug 1, 2008 Accepting new patients
University Health System Inc CurrentSince Sep 1, 2008 Accepting new patients
University Health System, Inc. Past Accepting new patients

Locations

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

1928 Alcoa Hwy
Ste 300
Knoxville, TN 37920
Phone (615) 637-6392

1928 Alcoa Hwy
Ste 127
Knoxville, TN 37920
Phone (865) 305-8368

Organizations & group practices 6

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 1

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": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1154592897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY",
            "address_2": "MEDICAL BUILDING B SUITE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201502",
            "telephone_number": "865-305-9799",
            "fax_number": "865-305-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY",
            "address_2": "MEDICAL BUILDING B SUITE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201502",
            "telephone_number": "865-305-9799",
            "fax_number": "865-305-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN NES",
        "first_name": "JACLYN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000043229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.