Jessica Ingle
Individual provider Active NPI Family Nurse Practitioner · Bristol, TN
NPI 1609469212 · NPPES record last updated Feb 25, 2025
Key facts
- NPI
- 1609469212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 27360 (TN)
- Practice address
- 1 Medical Park Blvd Ste 205E
Bristol, TN 37620-7507 - Phone
- (423) 844-5520
- NPI assigned
- Feb 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellmont Medical Associates Inc
WPS Providers Inc
Practice addresses (Care Compare)
1 Medical Park Blvd
Suite 250W
Bristol, TN 37620-7431
Phone (423) 844-6620
400 N State of Franklin Rd
FL 7
Johnson City, TN 37604-6035
Phone (423) 431-1592
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
- Johnson City Medical Center
- Wellmont Bristol Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210615001653 | TN | Practitioner - Nurse Practitioner | 0840690756 | Reassigns benefits to 2 organizations |
| I20210706000696 | VA | Practitioner - Nurse Practitioner | 0840690756 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024180158 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| WPS Providers Inc | Current |
Accepting new patients | |
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients | |
| Blue Ridge Medical Management Corporation | Family | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
1 Medical Park Blvd
Ste 250W
Bristol, TN 37620
Phone (423) 844-6407
1 Medical Park Blvd
Ste 205E
Bristol, TN 37620
Phone (423) 844-5520
400 N State of Franklin Rd
Fl 7
Johnson City, TN 37604
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024180158 | VA | |
| Family Nurse Practitioner | 363LF0000X | 27360 | TN | Yes |
Addresses
Primary practice location
1 Medical Park Blvd Ste 205E
Bristol, TN 37620-7507
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other practice location 2
400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
Other providers in Bristol, TN
- Joshua C Hutto
- Heather Elaine Click Hutton
- Aaron Spence Hymes
- Ean Antulio Iboy
- Independent Physical Therapy, LLC
- Innovative Surgical Solutions, PLLC
- Integrated Health Concepts, LLC
- Integrated Health Concepts, LLC
- Internal Medicine and Pediatric Assoc of Bristol
- Ipc Pac Healthcare Services of Tennessee PC
All providers in Bristol, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.