Jessica Kay Smith, RN - Medicare Nurse Practitioner in Cleveland, TN

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Jessica Kay Smith, RN is a medicare enrolled "Nurse Practitioner - Family" in Cleveland, Tennessee. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Emergency Physicians Llc and her current practice location is 2650 Executive Park Nw Ste 5, Cleveland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 479-9679.

Jessica Kay Smith is licensed to practice in Tennessee (license number APN0000013246) 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 1982874533.

Contact Information

Jessica Kay Smith, RN
2650 Executive Park Nw Ste 5,
Cleveland, TN 37312-2746
(423) 479-9679
(423) 559-9046

Map and Direction




Provider's Profile

Full NameJessica Kay Smith
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location2650 Executive Park Nw Ste 5, Cleveland, 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:
  • Jessica Kay Smith graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1982874533
  • Provider Enumeration Date: 03/10/2008
  • Last Update Date: 12/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0648343830
  • Enrollment ID: I20080722000096

Medical Identifiers

Medical identifiers for Jessica Kay Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982874533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 141571 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family APN0000013246 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997491

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. Jessica Kay Smith allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Emergency Services P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669414264
PECOS PAC ID: 6204730195
Enrollment ID: O20031121000687
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameApp Of Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159

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. Jessica Kay Smith 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
Jessica Kay Smith, RN
2650 Executive Park Nw Ste 5,
Cleveland, TN 37312-2746

Ph: (423) 479-9679		Jessica Kay Smith, RN
2650 Executive Park Nw Ste 5,
Cleveland, TN 37312-2746

Ph: (423) 479-9679

Reviews and Comments


Nurse Practitioner Nurses in Cleveland, TN

Janet Leigh Zarzour, FNP-BC
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Phone: 615-673-6737    Fax: 800-474-4039
Miss Margie Amanda Cook, FNP
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Practice Location: 2253 Chambliss Ave Nw, Suite 202, Cleveland, TN 37311
Phone: 423-472-3332    Fax: 423-472-3830
Marissa Lyn Withrow,
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Phone: 866-389-2727    Fax: 401-216-3854
Robert Breck Lang, FNP
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Phone: 423-478-1970    
Lindsey C Baxter, AGACNP-BC
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Practice Location: 1482 Old Charleston Rd Ne, Cleveland, TN 37312
Phone: 423-544-9596    
Mary Michelle Youngblood, FNP
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Practice Location: 2085 Brentwood Trl Sw, Cleveland, TN 37311
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Kellye Fryar, FNP
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Practice Location: 463 1st St Nw, Cleveland, TN 37311
Phone: 423-790-7662    Fax: 423-790-7664

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.