Active NPI
Jane E Gertz, CRNP
- Family Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1962474825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000020321
- Practice address
- 9031 Cross Park Dr
Knoxville, TN 37923-4602 - Phone
- (865) 777-6880
- Fax
- (865) 777-6881
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP2028812 | FL | |
| Family Nurse Practitioner | 363LF0000X | 1-118334 | AL | |
| Family Nurse Practitioner | 363LF0000X | APN0000020321 | TN | Primary |
Addresses
Primary practice location
9031 Cross Park Dr
Knoxville, TN 37923-4602
Mailing address
9031 Cross Park Dr
Knoxville, TN 37923-4602
Phone (865) 777-6880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q023878 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160310000890 | TN | Practitioner - Nurse Practitioner | 7810044369 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4713 Papermill Dr
Suite 301
Knoxville, TN 37909-1908
Phone (865) 307-7323
4713 Papermill Dr NW
Suite 301
Knoxville, TN 37909-1908
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Improvement activities
- 40
- Cost
- 89.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3259 | AL | MD | Cardiovascular Disease Physician |
| ARNP2028812 | FL | MD | Family Nurse Practitioner |
| APN0000020321 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Spine & Pain Associates LLC | Current | Accepting new patients | |
| Southeast Spine and Pain Associates Inc. | Current | Accepting new patients | |
| Lloyd C Dyas, MD, PC | Past | Accepting new patients | |
| James J. O'Mailia, MD, PA | Past | Accepting new patients | |
| Washington D. Baquero, MD, PA | Past | Accepting new patients | |
| Rehabilitation Consultants PA | Past | Accepting new patients |
Locations
4713 Papermill Dr
Ste 301
Knoxville, TN 37909
Phone (865) 307-7323
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Fort Myers, FL
- NPI 1730151614
-
- Orthopaedic Surgery Physician
- Russellville, AL
- NPI 1659542082
-
- Pain Medicine Physician
- Fort Myers, FL
- NPI 1699947465
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1124161542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1962474825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9031 CROSS PARK DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234602",
"telephone_number": "865-777-6880",
"fax_number": "865-777-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9031 CROSS PARK DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234602",
"telephone_number": "865-777-6880",
"fax_number": "865-777-6881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERTZ",
"first_name": "JANE",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP2028812",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-118334",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000020321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q023878",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.