Amanda Derise-Jewell, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

27432 Issued in TN

Practice address

4325 Highway 127 N
Crossville, TN 38571-0587

Phone

(931) 484-8020

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Medical Clinic LLCGroup PAC ID 1951721802, shared by 11 NPIs, 30 clinicians

Volunteer Behavioral Health Care SystemGroup PAC ID 3678485802, 44 clinicians

Highland Behavioral HealthcareGroup PAC ID 5092133041, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

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.

• Highland Behavioral Healthcare

  • Psychiatric/Mental Health Nurse Practitioner
  • Crossville, TN
  • NPI 1093325557
  Medicare reassignment Care Compare group NPD
• Volunteer Behavioral Health Care System

  • Counselor
  • Murfreesboro, TN
  • NPI 1043267107
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1417486093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 HIGHWAY 127 N",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385710501",
            "telephone_number": "931-484-8020",
            "fax_number": "931-250-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 HIGHWAY 127 N",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385710587",
            "telephone_number": "931-484-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Taylor Ave",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385554567",
            "country_code": "US",
            "telephone_number": "931-250-5488",
            "fax_number": "931-250-5667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERISE-JEWELL",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Davis, RN
• Payton Jaylene Davis, PHYSICIAN ASSISTANT
• Sherry Davis, RN
• Deercreek Anesthesia Consultants PLLC
• Jill K Denney, PA-C
• Heather S Desserich, FNP-BC
• DHP of Cumberland PC
• Dialysis Care Center Crossville LLC
• Jordyn Paige Diaz, RDH
• Casey Dillon, PA

• Nurse Practitioner in Crossville, TN
• Providers in Crossville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.