Individual provider Active NPI

Jerry A Allen, NP

  • Nurse Practitioner
  • Oak Ridge, TN
National Provider Identifier
1285884429
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN 0000013542 Issued in TN
Practice address
599 Oak Ridge Tpke
Oak Ridge, TN 37830-7177
Phone
(865) 482-2129
Fax
(865) 482-4036
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN 0000013542 TN Primary

Addresses

Primary practice location

599 Oak Ridge Tpke
Oak Ridge, TN 37830-7177

Mailing address

599 Oak Ridge Tpke
Oak Ridge, TN 37830-7177
Phone (865) 813-1009

Other identifiers 1

IdentifierTypeStateIssuer
APN0000013542OtherTNLICENSE NUMBER

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
I20080923000439 TN Practitioner - Nurse Practitioner 9537236179 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN 0000013542TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Oak Ridge,PC CurrentSince Feb 23, 2010 Accepting new patients
Dermatology Assoc.of Oak Ridge,PC Nurse Practitioner Past Accepting new patients

Locations

800 Oak Ridge Tpke
Ste A300
Oak Ridge, TN 37830
Phone (865) 482-2129

599 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 482-2129

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Oak Ridge,PC 10 clinicians

Practice addresses (Care Compare)

599 Oak Ridge Tpke
Oak Ridge, TN 37830-7177
Phone 86548221297177

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1285884429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307177",
            "telephone_number": "865-813-1009",
            "fax_number": "865-482-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307177",
            "telephone_number": "865-482-2129",
            "fax_number": "865-482-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JERRY",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN 0000013542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "APN0000013542",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.