Individual provider Active NPI

Jennifer A. Rose, FNP

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1689004483
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18143 Issued in TN
Practice address
2175 Chambliss Ave NW
Suite D
Cleveland, TN 37311-3842
Phone
(423) 472-1140
Fax
(423) 339-2242
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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 18143 TN Primary

Addresses

Primary practice location

2175 Chambliss Ave NW
Suite D
Cleveland, TN 37311-3842

Mailing address

2175 Chambliss Ave NW
Suite D
Cleveland, TN 37311-3842
Phone (423) 458-6267

Other identifiers 1

IdentifierTypeStateIssuer
Q002647MedicaidTN

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
I20140226001499 TN Practitioner - Nurse Practitioner 7416187083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Orthopaedic Group, PCGroup PAC ID 1254229156, 75 clinicians

Practice addresses (Care Compare)

2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Orthopaedic Group PC CurrentSince Aug 7, 2018 Accepting new patients
Chattanooga Orthopaedic Group, PC CurrentSince Aug 7, 2018 Accepting new patients
East Tennessee Neuropathy, PC PastSince Apr 1, 2013 Accepting new patients
Chattanooga Orthopaedic Group, PC Past Accepting new patients

Locations

719 Cook Dr
Ste 103
Athens, TN 37303
Phone (423) 339-3340

2205 McCallie Ave
Ste 302
Chattanooga, TN 37404

2415 McCallie Ave
Chattanooga, TN 37404
Phone (423) 629-4395

1949 Gunbarrel Rd
Ste 150
Chattanooga, TN 37421
Phone (423) 296-0022

2400 N Ocoee St
Cleveland, TN 37311
Phone (423) 476-5547

7693 Rhea County Hwy
Ste 8
Dayton, TN 37321
Phone (423) 305-7980

2051 Hamill Rd
Ste 3000
Hixson, TN 37343

24 Mountain View Dr
Ste A
Kimball, TN 37347
Phone (423) 942-9171

Interoperability endpoints

  • Direct secure messaging: jennifer.rose.1@519.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1689004483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 CHAMBLISS AVE NW",
            "address_2": "SUITE D",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113842",
            "telephone_number": "423-458-6267",
            "fax_number": "423-790-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 CHAMBLISS AVE NW",
            "address_2": "SUITE D",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113842",
            "telephone_number": "423-472-1140",
            "fax_number": "423-339-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002647",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.