Individual provider Active NPI

Jennifer L Patterson, NP

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1356593917
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13516 Issued in TN
Practice address
979 E 3Rd St
Chattanooga, TN 37403-2136
Phone
(423) 778-9001
Fax
(423) 778-4692
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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 13516 TN Primary

Addresses

Primary practice location

979 E 3Rd St
Chattanooga, TN 37403-2136

Mailing address

979 E 3Rd St
Suite C-830
Chattanooga, TN 37403-2136
Phone (423) 778-9001

Other names 1

  • Jennifer Lynn Wilson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081210000746 TN Practitioner - Nurse Practitioner 3476614363 Reassigns benefits to 5 organizations
I20250602000778 AZ Practitioner - Nurse Practitioner 3476614363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

755 E McDowell Rd
Phoenix, AZ 85006-2506
Phone (602) 521-3086

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Nurse Practitioner CurrentSince Oct 1, 2017 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince May 3, 2014 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Oct 1, 2020 Accepting new patients
Chattanooga Hamilton County Hospital Authority Current Accepting new patients
Tennessee River Physicians, PLLC CurrentSince May 1, 2017 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince May 1, 2025 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince May 3, 2014 Accepting new patients
Chattanooga Emergency Medicine PLLC CurrentSince Apr 24, 2010 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince May 1, 2025 Accepting new patients
Chattanooga Emergency Medicine PLLC CurrentSince Apr 24, 2010 Accepting new patients
Tennessee River Physicians, PLLC Current Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Oct 1, 2020 Accepting new patients
Tennessee River Physicians, PLLC CurrentSince May 1, 2017 Accepting new patients

Locations

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

979 E 3rd St
Ste C830
Chattanooga, TN 37403
Phone (423) 778-7200

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1356593917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "SUITE C-830",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-778-9001",
            "fax_number": "423-778-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-778-9001",
            "fax_number": "423-778-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "13516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILSON",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.