Jeanie Marie Van Akkeren, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R864955 Issued in MS

Practice address

862 Callen LN NW Ste 110
Cleveland, TN 37312-7020

Phone

(423) 331-5025

NPI assigned

May 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/medflow_eye_care_chattanooga

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.

• Revida Recovery Centers, PC

  • Addiction Medicine (Family Medicine) Physician
  • Abingdon, VA
  • NPI 1013483486
  NPD
• Eye Care Chattanooga PLLC

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1801117015
  NPD (past)
• Plantersville Clinic, Inc

  • Family Nurse Practitioner
  • Plantersville, MS
  • NPI 1952476921
  NPD (past)

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1609211374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 MAIN ST",
            "city": "PLANTERSVILLE",
            "state": "MS",
            "postal_code": "388625002",
            "telephone_number": "662-842-4877",
            "fax_number": "662-842-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 CALLEN LN NW STE 110",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373127020",
            "telephone_number": "423-331-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2464 Main St",
            "address_purpose": "LOCATION",
            "city": "Plantersville",
            "state": "MS",
            "postal_code": "388625002",
            "country_code": "US",
            "telephone_number": "662-842-4877",
            "fax_number": "662-842-4330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 N Lyerly St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374042746",
            "country_code": "US",
            "telephone_number": "423-698-0850",
            "fax_number": "423-698-0511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4957 Swinyar Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373632205",
            "country_code": "US",
            "telephone_number": "423-362-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN AKKEREN",
        "first_name": "JEANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R864955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03573574",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MISSISSIPPI",
            "identifier": "207688",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Elizabeth Underwood, MSPT
• George Marshall Underwood, PTA
• Upperline Healthcare, PC
• Urgent Care Centers of East Tennessee, P.C.
• Michael Jefferson Usery, D.PH.
• Taylor Marie Van Wagner
• Anna Vanbenschoten, PHARM.D.
• Clayton Robert Vance, FNP-C
• Daniel B Vance IV, MD
• Aletta Jane Vandergriff

• Family Nurse Practitioner in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.