Individual provider Active NPI

Jane E Gertz, CRNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1962474825
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000020321 Issued in TN
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

Updated by the provider on Jul 12, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q023878MedicaidTN

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
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
Southeast Spine and Pain Associates Inc.Group PAC ID 8224494414, 6 clinicians
Southeast Spine and Pain Associates LLCGroup PAC ID 8527212372, 5 clinicians

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 100Reported as group
Quality
85.32
Improvement activities
40
Cost
89.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3259ALMDCardiovascular Disease Physician
ARNP2028812FLMDFamily Nurse Practitioner
APN0000020321TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Spine & Pain Associates LLC CurrentSince Jan 2, 2018 Accepting new patients
Southeast Spine and Pain Associates Inc. CurrentSince Jul 1, 2023 Accepting new patients
Lloyd C Dyas, MD, PC Past Accepting new patients
James J. O'Mailia, MD, PA PastSince Nov 1, 2009 Accepting new patients
Washington D. Baquero, MD, PA PastSince Jun 27, 2016 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.

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

Verify at the official NPI Registry.