| Jennifer Stakias, NP | |
|
415 Broad St, Suite 410, Kingsport, TN 37660-4263 | |
| (423) 239-9737 | |
| (423) 398-5500 |
| Full Name | Jennifer Stakias |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 415 Broad St, Kingsport, Tennessee |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437589710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 18172 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Well Care Home Health | Wilmington, NC | Home health agency |
| Kindred At Home | Rocky mount, NC | Home health agency |
| Vidant Duplin Hospital | Kenansville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Wh Southeast, Llc | 5496294456 | 194 |
| Eventus Wholehealth Pllc | 6002169539 | 309 |
| Entity Name | Eventus Wholehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
| Entity Name | Eventus Value Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013680503 PECOS PAC ID: 1254736986 Enrollment ID: O20210818003793 |
| Entity Name | Eventus Wholehealth Aco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023796307 PECOS PAC ID: 8921469651 Enrollment ID: O20230727003681 |
| Entity Name | Eventus Wh Southeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487494811 PECOS PAC ID: 5496294456 Enrollment ID: O20240822002165 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Stakias, NP 1 Medical Park Blvd, Bristol, TN 37620-7430 Ph: (423) 239-9737 | Jennifer Stakias, NP 415 Broad St, Suite 410, Kingsport, TN 37660-4263 Ph: (423) 239-9737 |
Mrs. Cathy A Greenwood, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3136 Winesap Rd, Kingsport, TN 37663 Phone: 423-726-2077 | |
Lauren Ernst Curry, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1041 E Sullivan St, Kingsport, TN 37660 Phone: 423-279-2777 | |
Kelly A Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-230-5613 | |
Sherry Lynn Goode, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-224-3629 | |
Amanda M Malone, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1242 W Shipley Ferry Rd, Kingsport, TN 37663 Phone: 423-239-7300 Fax: 423-239-7607 | |
Mrs. Amanda Susan Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660 Phone: -- | |
Mary Renee Mcnees, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660 Phone: 423-765-9655 Fax: 423-979-6333 |