Individual provider Active NPI

Gretchen Jillian Nitz, PA-C

  • Physician Assistant
  • La Follette, TN
National Provider Identifier
1508856873
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
119 Issued in TN
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

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3665540MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

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 Hospital, La Follette, TN, CCN 440033

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
119TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.