Individual provider Active NPI

Jennifer Lane, FNP-C

  • Family Nurse Practitioner
  • Sevierville, TN
National Provider Identifier
1467744680
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15832 Issued in TN
Practice address
1124 Fox Meadows Blvd Ste 3
Sevierville, TN 37862-6927
Phone
(865) 428-0312
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 15832 TN Primary

Addresses

Primary practice location

1124 Fox Meadows Blvd Ste 3
Sevierville, TN 37862-6927

Mailing address

1275 Dick Lonas Rd
Knoxville, TN 37909-1382
Phone (865) 584-4747

Other practice location 1

9161 Middlebrook Pike
Knoxville, TN 37923-1438
Phone (865) 694-2900

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
I20110719000433 TN Practitioner - Nurse Practitioner 6608044649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jandj Medical PLLCGroup PAC ID 5991169989, 2 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

208 Prince St
Sevierville, TN 37862-3821
Phone (865) 774-7481

8635 Middlebrook Pike
Knoxville, TN 37923-1612
Phone (865) 824-0033

Hospital & facility affiliations

  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15832TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J&J Medical PLLC Family CurrentSince Dec 1, 2023 Accepting new patients
All Care Family Practice Inc Family CurrentSince Dec 18, 2023 Accepting new patients

Locations

208 Prince St
Sevierville, TN 37862
Phone (865) 774-7481

Interoperability endpoints

  • Direct secure messaging: jennifer.stewart.1@20785.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
All Care Family PracticeSevierville, TN, CCN 888297 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
General Partnership Interest (50%)
W-2 Managing Employee (50%)
Jun 28, 2023
Jun 28, 2023
Jun 28, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1467744680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091382",
            "telephone_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 FOX MEADOWS BLVD STE 3",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626927",
            "telephone_number": "865-428-0312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9161 Middlebrook Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379231438",
            "country_code": "US",
            "telephone_number": "865-694-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.