Mrs Jessica Elaine Lietz, FNP-C - Medicare Nurse Practitioner in Fort Campbell, KY

Mrs Jessica Elaine Lietz, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Fort Campbell, Kentucky. Her current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 798-8400.

Mrs Jessica Elaine Lietz is licensed to practice in Tennessee (license number 014113) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124262720.

Contact Information

Mrs Jessica Elaine Lietz, FNP-C
650 Joel Dr,
Fort Campbell, KY 42223-5318
(270) 798-8400
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jessica Elaine Lietz
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124262720
  • Provider Enumeration Date: 04/27/2009
  • Last Update Date: 08/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7517395445
  • Enrollment ID: I20200306002374

Medical Identifiers

Medical identifiers for Mrs Jessica Elaine Lietz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124262720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 014113 (Tennessee)Primary

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. Mrs Jessica Elaine Lietz 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
Mrs Jessica Elaine Lietz, FNP-C
3402 Summerfield Dr,
Clarksville, TN 37042-8155

Ph: (270) 498-5656
Mrs Jessica Elaine Lietz, FNP-C
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: (270) 798-8400

Reviews and Comments


Nurse Practitioner Nurses in Fort Campbell, KY

Mrs. Denise L Jones, CFNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 605 Joel Drive, Fort Campbell, KY 42223
Phone: 270-798-4677    
Dr. Michael D Haight, D.C., FNP, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-412-6555    
Mr. Tracy Lynn Saboy, MSN, ANP-BC, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8727    
Mrs. Sara Jean Szymczak, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-461-4018    
Leslie Marvene Gallon,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-461-2868    
Ute Poepsel,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Blanchfield Ach, Credentialing Office - Room 1eb01, Fort Campbell, KY 42223
Phone: 270-412-8983    Fax: 270-461-0243

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.