Jennifer Tibben, AGPCNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

37499 Issued in TN

Practice address

PO Box 22392
Knoxville, TN 37933-0392

Phone

(520) 820-7918

NPI assigned

Nov 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Yachanin Former name

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beacon Sleep Services PLLCGroup PAC ID 0648571844, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.tibben@643536888266756.direct.elationemr.com

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.

• Beacon Sleep Services PLLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Johnson City, TN
  • NPI 1164806352
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1982428272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22392",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379330392",
            "telephone_number": "520-820-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 22392",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379330392",
            "telephone_number": "520-820-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBEN",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "37499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "YACHANIN",
            "credential": "AGPCNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph B Thurman, M.D.
• Katherine N Thurman, M.D.
• Julie Elizabeth Thurmer, NP
• THVC Medical Services of NJ PC
• THVC Services PA
• Mark Tichon, PSYCHOLOGIST/HSP
• Paul Timothy Tidmore, NP
• Christy Love Tidwell, CRNA
• Kara Tidwell, RBT
• Kelli D Tidwell, FNP

• Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.

Verify at the official NPI Registry.