Active NPI
Jerry A Allen, NP
- Nurse Practitioner
- Oak Ridge, TN
National Provider Identifier
1285884429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN 0000013542
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN0000013542 | Other | TN | LICENSE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APN 0000013542 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates of Oak Ridge,PC | Current | 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.
-
- Nurse Practitioner
- Oak Ridge, TN
- NPI 1710145537
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
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 100
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.