Individual provider Active NPI

Jessica Fosbinder, MSN-FNP

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1962891549
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19120 Issued in TN
Practice address
605 Glenwood Dr Ste 200
Chattanooga, TN 37404-1130
Phone
(423) 698-1844
Fax
(423) 624-2226
NPI assigned
Jan 20, 2015
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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 19120 TN Primary
Family Nurse Practitioner 363LF0000X 19120 TN

Addresses

Primary practice location

605 Glenwood Dr Ste 200
Chattanooga, TN 37404-1130

Mailing address

2004 Hayes St Ste 800
Nashville, TN 37203-2659
Phone (615) 514-3023

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
I20161019000880 TN Practitioner - Nurse Practitioner 1759679079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

605 Glenwood Dr
Suite 200
Chattanooga, TN 37404-1130
Phone (423) 698-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology,PLLC CurrentSince Nov 13, 2017 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Sep 1, 2024 Accepting new patients
Tennessee Oncology PLLC CurrentSince Nov 13, 2017 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Sep 1, 2024 Accepting new patients
Tennessee Oncology PLLC PastSince Mar 5, 2023 Accepting new patients

Locations

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

1635 Gunbarrel Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 778-8525

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 495-7730

979 E 3rd St
Ste G15
Chattanooga, TN 37403
Phone (423) 490-9080

4488 Carothers Pkwy
Ste 310
Franklin, TN 37067
Phone (615) 986-4330

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1962891549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032659",
            "telephone_number": "615-514-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DR STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041130",
            "telephone_number": "423-698-1844",
            "fax_number": "423-624-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSBINDER",
        "first_name": "JESSICA",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "19120",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.