Individual provider Active NPI

Jessica Kathleen Barocas, ARNP

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1689346132
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
38152 Issued in TN
Practice address
2108 E 3Rd St Ste 200
Chattanooga, TN 37404-2624
Phone
(423) 267-0466
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11015705 FL
Nurse Practitioner 363L00000X 38152 TN Primary

Addresses

Primary practice location

2108 E 3Rd St Ste 200
Chattanooga, TN 37404-2624

Mailing address

979 E 3Rd St Ste 300
Chattanooga, TN 37403-2187
Phone (423) 267-0466

Other names 1

  • Jessica Kathleen Caudill Former name

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
I20250422000775 TN Practitioner - Nurse Practitioner 6608244389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2108 E 3Rd St
Chattanooga, TN 37404-2600
Phone (423) 629-1491

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015705FLMDNurse Practitioner
38152TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Surgical Associates, PLLC CurrentSince Apr 2, 2025 Accepting new patients

Locations

2108 E 3rd St
Ste 200
Chattanooga, TN 37404

979 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 757-0792

2108 E 3rd St
Chattanooga, TN 37404
Phone (423) 629-1491

Interoperability endpoints

  • Direct secure messaging: jessica.barocas.1@33371.direct.athenahealth.com

Organizations & group practices 1

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": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1689346132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032187",
            "telephone_number": "423-267-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 E 3RD ST STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042624",
            "telephone_number": "423-267-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROCAS",
        "first_name": "JESSICA",
        "middle_name": "KATHLEEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11015705",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "38152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CAUDILL",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.