John Wesley Smiddy, NP - Medicare Nurse Practitioner in Jacksboro, TN

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John Wesley Smiddy, NP is a medicare enrolled "Nurse Practitioner" in Jacksboro, Tennessee. He graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fast Pace Medical Clinic Pllc and his current practice location is 2702 Jacksboro Pike, Jacksboro, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 201-9937.

John Wesley Smiddy is licensed to practice in Tennessee (license number 20145) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417331059.

Contact Information

John Wesley Smiddy, NP
2702 Jacksboro Pike,
Jacksboro, TN 37757-4850
(423) 201-9937
(423) 567-4722

Map and Direction




Provider's Profile

Full NameJohn Wesley Smiddy
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location2702 Jacksboro Pike, Jacksboro, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Wesley Smiddy graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1417331059
  • Provider Enumeration Date: 07/14/2015
  • Last Update Date: 07/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0941518260
  • Enrollment ID: I20151006000598

Medical Identifiers

Medical identifiers for John Wesley Smiddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417331059NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 20145 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Medical Clinic Pllc5395881841680

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. John Wesley Smiddy allows following entities to bill medicare on his behalf.
Entity NameUniversity Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790738763
PECOS PAC ID: 5294646378
Enrollment ID: O20031111000809
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameDx Mso Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225381148
PECOS PAC ID: 7719131101
Enrollment ID: O20130213000017
Entity NameUt Urgent Care Centers, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801391453
PECOS PAC ID: 5597015065
Enrollment ID: O20180904001336
Entity NameWest Knoxville Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124689450
PECOS PAC ID: 8022444330
Enrollment ID: O20200205001238

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. John Wesley Smiddy 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
John Wesley Smiddy, NP
2702 Jacksboro Pike,
Jacksboro, TN 37757-4850

Ph: (423) 201-9937		John Wesley Smiddy, NP
2702 Jacksboro Pike,
Jacksboro, TN 37757-4850

Ph: (423) 201-9937

Reviews and Comments


Nurse Practitioner Nurses in Jacksboro, TN

Anthony M. Kingsley, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 163 Perkins Ln, Jacksboro, TN 37757
Phone: 423-500-9140    Fax: 423-435-0828
Stacy Jean Riggs, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 136 Mountain Perkins Ln Ste 2, Jacksboro, TN 37757
Phone: 423-562-4149    Fax: 423-566-6929
April D Rodriguez, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 136 Mountain Perkins Ln Ste 2, Jacksboro, TN 37757
Phone: 423-562-4149    
Katherine Gresham, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    
Amy Young, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    Fax: 865-567-4722
Jennifer Riley,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757
Phone: 423-201-9937    

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.