Individual provider Active NPI

Bruce E Jacobs, APRN, BC

  • Family Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1356523310
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12994 Issued in TN
Practice address
420 W Morris Blvd
Ste. 400B
Morristown, TN 37813-2283
Phone
(423) 586-2410
Fax
(423) 581-9692
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12994 TN Primary

Addresses

Primary practice location

420 W Morris Blvd
Ste. 400B
Morristown, TN 37813-2283

Mailing address

420 W Morris Blvd
Ste. 400B
Morristown, TN 37813-2283
Phone (423) 586-2410

Other practice location 1

4435 Valley View Dr Ste 102
Knoxville, TN 37917-1300
Phone (865) 544-6244

Other identifiers 2

IdentifierTypeStateIssuer
12994OtherTNLICENSE
3341623MedicaidTN

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
I20080408000164 TN Practitioner - Nurse Practitioner 6204913841 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200

Hospital & facility affiliations

  • Tennova Healthcare - Newport Medical Center Hospital, Newport, TN, CCN 440153

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of Tennessee PC Family CurrentSince Jan 1, 2016 Accepting new patients
Apogee Medical Group Tennessee PC CurrentSince Dec 20, 2010 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Aug 4, 2019 Accepting new patients
Southeastern Physician Services PC CurrentSince Feb 1, 2013 Accepting new patients
Inpatient Consultants of Tennessee, P.C. Family Past Accepting new patients
Prisma Health - Blount Memorial Hospital Inc. Past Accepting new patients

Locations

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

801 Vanosdale Rd
Knoxville, TN 37909
Phone (865) 690-3411

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1356523310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "STE. 400B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132283",
            "telephone_number": "423-586-2410",
            "fax_number": "423-581-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "STE. 400B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132283",
            "telephone_number": "423-586-2410",
            "fax_number": "423-581-9692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4435 Valley View Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379171300",
            "country_code": "US",
            "telephone_number": "865-544-6244",
            "fax_number": "865-523-9069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BRUCE",
        "middle_name": "E",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "12994",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341623",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.