Active NPI
Jordan Taylor Bentz, DNP, FNP-C
- Family Nurse Practitioner
- Alcoa, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 32406
- Practice address
- 255 E Watt St
Alcoa, TN 37701-2236 - Phone
- (865) 273-1616
- Fax
- (865) 273-1645
- NPI assigned
- Sep 27, 2022
- Last updated
- Sep 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 234037 | TN | |
| Family Nurse Practitioner | 363LF0000X | 32406 | TN | Primary |
Addresses
Primary practice location
255 E Watt St
Alcoa, TN 37701-2236
Mailing address
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 E Watt St
Alcoa, TN 37701-2236
Phone (865) 273-1616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234037 | TN | MD | Family Nurse Practitioner |
| 32406 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Health Systems | Current | Accepting new patients | |
| Cherokee Health Systems | Current | Accepting new patients | |
| Cherokee Health Systems | Past | Accepting new patients |
Locations
255 E Watt St
Alcoa, TN 37701
Phone (865) 273-1616
1515 Saint Mary St
Ste B
Knoxville, TN 37917
Phone (865) 934-6125
2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406
1923 Sulphur Springs Rd
Morristown, TN 37813
6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031
Interoperability endpoints
- jordan.bentz.p1@direct.cherokeehealth.nextgenshare.com
Organizations & group practices 3
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.
-
dba River Valley Health
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
-
dba River Valley Health
- Federally Qualified Health Center (FQHC)
- White Pine, TN
- NPI 1699666404
-
dba River Valley Health
- Federally Qualified Health Center (FQHC)
- Morristown, TN
- NPI 1043457161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1356065148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 SULPHUR SPRINGS RD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378135654",
"telephone_number": "423-317-9344",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E WATT ST",
"city": "ALCOA",
"state": "TN",
"postal_code": "377012236",
"telephone_number": "865-273-1616",
"fax_number": "865-273-1645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTZ",
"first_name": "JORDAN",
"middle_name": "TAYLOR",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "234037",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "32406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alcoa, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.