Tonya Renee Jennings, FNP
Individual provider Active NPI Family Nurse Practitioner · Smithville, TN
NPI 1255654083 · NPPES record last updated Oct 13, 2022
Key facts
- NPI
- 1255654083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F0414250 (TN)
- Practice address
- 518C West Main St
Smithville, TN 37166 - Phone
- (615) 597-4005
- Fax
- (615) 597-6667
- NPI assigned
- Mar 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dekalb Medical Clinic LLP
Practice addresses (Care Compare)
518 W Main St
Suite C
Smithville, TN 37166-1100
Phone (615) 597-4005
Hospital & facility affiliations
- Suncrest Home Health
- Adoration Home Health, LLC
- Dekalb Community Hospital
- Saint Thomas River Park Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151007001968 | TN | Practitioner - Nurse Practitioner | 2466760681 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150508 | TN | MD | Registered Nurse |
| F0414250 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Medical Clinic LLP | Current |
Accepting new patients |
Locations
518 W Main St
Ste C
Smithville, TN 37166
Phone (615) 597-4005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 150508 | TN | |
| Family Nurse Practitioner | 363LF0000X | F0414250 | TN | Yes |
Addresses
Primary practice location
518C West Main St
Smithville, TN 37166
Mailing address
518 W Main St Ste C
Smithville, TN 37166-1100
Phone (615) 597-4005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0414250 | Other | TN | AANP |
| Q011372 | Medicaid | TN |
Other names
- Tonya Panker
Other providers in Smithville, TN
- Home Health Concepts, Inc.
- Hometown Pediatrics PLLC
- Justin Hooper
- Kimberly Hyde
- Leah Nicole Ingram
- Johnson Chiropractic Clinic, PLLC
- Jayson A Johnson
- Ronda Johnson
- Andrew Aaron Jones
- Ernest J Jones
All providers in Smithville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.