Active NPI
Gretchen Jillian Nitz, PA-C
- Physician Assistant
- La Follette, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 119
- Practice address
- 919 E Central Ave Ste 102
La Follette, TN 37766-2778 - Phone
- (423) 907-1740
- Fax
- (423) 907-1743
- NPI assigned
- Oct 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 119 | TN | Primary |
Addresses
Primary practice location
919 E Central Ave Ste 102
La Follette, TN 37766-2778
Mailing address
151 Frank L Diggs Dr
Clinton, TN 37716-6953
Phone (865) 647-3320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3665540 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeffrey.nitz.1@4694.direct.athenahealth.com |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100726000731 | TN | Practitioner - Physician Assistant | 9133257231 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10810 Parkside Dr
Knoxville, TN 37934-1981
919 E Central Ave
La Follette, TN 37766-2778
923 E Central Ave
Lafollette, TN 37766-2778
Phone (423) 907-1498
Hospital & facility affiliations
- Lafollette Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPS-Cardiology LLC | Current | Accepting new patients |
Locations
3004 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-3324
135 N Meadows Dr
#A
Athens, TN 37303
Phone (423) 453-5314
10810 Parkside Dr
Ste 301
Knoxville, TN 37934
Phone (865) 470-2273
Knoxville, TN 37995
101 E Blount Ave
Ste 300
Knoxville, TN 37920
Phone (865) 549-7503
Dept 888249
Knoxville, TN 37995
744 Middle Creek Rd
Ste 114
Sevierville, TN 37862
Phone (865) 446-9575
824 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-8773
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Knoxville, TN
- NPI 1023092426
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": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1508856873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 FRANK L DIGGS DR",
"city": "CLINTON",
"state": "TN",
"postal_code": "377166953",
"telephone_number": "865-647-3320",
"fax_number": "865-647-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 E CENTRAL AVE STE 102",
"city": "LA FOLLETTE",
"state": "TN",
"postal_code": "377662778",
"telephone_number": "423-907-1740",
"fax_number": "423-907-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITZ",
"first_name": "GRETCHEN",
"middle_name": "JILLIAN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-26",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3665540",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeffrey.nitz.1@4694.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "151 Frank L Diggs Dr",
"city": "Clinton",
"state": "TN",
"country_code": "US",
"postal_code": "377166953",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Follette, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.