Jacqueline Heather Edleblute, CRNP - Medicare Nurse Practitioner in Dayton, TN

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Jacqueline Heather Edleblute, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Dayton, Tennessee. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Health Partners Foundation, Inc and her current practice location is 9400 Rhea County Hwy, Dayton, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 775-1121.

Jacqueline Heather Edleblute is licensed to practice in Tennessee (license number 31469) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982223582.

Contact Information

Jacqueline Heather Edleblute, CRNP
9400 Rhea County Hwy,
Dayton, TN 37321-7922
(423) 775-1121
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Heather Edleblute
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location9400 Rhea County Hwy, Dayton, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Heather Edleblute graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1982223582
  • Provider Enumeration Date: 04/14/2020
  • Last Update Date: 12/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618307141
  • Enrollment ID: I20220808000301

Medical Identifiers

Medical identifiers for Jacqueline Heather Edleblute such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982223582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 31469 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhea Medical CenterDayton, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Health Partners Foundation, Inc8022919570408

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Heather Edleblute allows following entities to bill medicare on her behalf.
Entity NameMemorial Health Partners Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922053545
PECOS PAC ID: 8022919570
Enrollment ID: O20040116000823
Entity NameRhea Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1811987084
PECOS PAC ID: 7315905148
Enrollment ID: O20061104000430
Entity NameCrossroads Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366644361
PECOS PAC ID: 8325117484
Enrollment ID: O20080515000672
Entity NameDx Mso Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225381148
PECOS PAC ID: 7719131101
Enrollment ID: O20130213000017
Entity NameConcord Medical Group Of Kentucky Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346746385
PECOS PAC ID: 9133483894
Enrollment ID: O20191118000999
Entity NameRhea Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972211803
PECOS PAC ID: 7315905148
Enrollment ID: O20221130000442

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Heather Edleblute is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Heather Edleblute, CRNP
3242 Rolling Meadow Way,
Cleveland, TN 37323-5112

Ph: (717) 825-6705		Jacqueline Heather Edleblute, CRNP
9400 Rhea County Hwy,
Dayton, TN 37321-7922

Ph: (423) 775-1121

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.