Renuven Aco PLLC - Medicare Primary Care in Johnson City, TN

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Renuven Aco PLLC is a medicare enrolled primary clinic (Internal Medicine) in Johnson City, Tennessee. The current practice location for Renuven Aco PLLC is 3209 Bristol Hwy, Johnson City, Tennessee. For appointments, you can reach them via phone at (423) 926-2358. The mailing address for Renuven Aco PLLC is 2717 E Oakland Ave, Johnson City, Tennessee and phone number is (423) 926-2358.

Renuven Aco PLLC is licensed to practice in NU (license number ). The clinic also participates in the medicare program and its NPI number is 1568209872. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (423) 926-2358.

Contact Information

Renuven Aco PLLC
3209 Bristol Hwy
Johnson City
TN 37601-1515
(423) 926-2358
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameRenuven Aco PLLC
SpecialityInternal Medicine
Location3209 Bristol Hwy, Johnson City, Tennessee
Authorized Official Name and PositionBert J Smith (CEO)
Authorized Official Contact4235575706
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Renuven Aco PLLC
2717 E Oakland Ave
Johnson City
TN 37601-1843

Ph: (423) 926-2358		Renuven Aco PLLC
3209 Bristol Hwy
Johnson City
TN 37601-1515

Ph: (423) 926-2358

NPI Details:

NPI Number1568209872
Provider Enumeration Date07/12/2024
Last Update Date07/17/2026
Certification Date07/17/2026

Medicare PECOS Information:

Medicare PECOS PAC ID1850820374
Medicare Enrollment IDO20250129001866

Medical Identifiers

Medical identifiers for Renuven Aco PLLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568209872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (NU)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Renuven Aco PLLC acts as a billing entity for following providers:
Provider NameNicholas J Dieringer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124003561
PECOS PAC ID: 1850375981
Enrollment ID: I20040616000754
Provider NameDon E Adams
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245215847
PECOS PAC ID: 6709866817
Enrollment ID: I20040721000138
Provider NameJames a Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184602898
PECOS PAC ID: 0547230096
Enrollment ID: I20040914000203
Provider NameCarla L Gillespie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295762276
PECOS PAC ID: 0547232878
Enrollment ID: I20050930000636
Provider NameCharles a Ball
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154344836
PECOS PAC ID: 9537137401
Enrollment ID: I20060209000275
Provider NameJoseph Radawi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1285686451
PECOS PAC ID: 2365481892
Enrollment ID: I20070319000400
Provider NameFaiza Rehman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407890593
PECOS PAC ID: 0749385979
Enrollment ID: I20070417000680
Provider NameKelley V Jefferson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154398105
PECOS PAC ID: 9335210616
Enrollment ID: I20080613000067
Provider NameBert Smith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497839070
PECOS PAC ID: 4587738877
Enrollment ID: I20080805000250
Provider NameAlicia D Flanary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912187527
PECOS PAC ID: 8527139518
Enrollment ID: I20090311000271
Provider NameSabrina D Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477881100
PECOS PAC ID: 7012186562
Enrollment ID: I20110817000925
Provider NameBrandon Lee Maroney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366726812
PECOS PAC ID: 8123291820
Enrollment ID: I20111025000282
Provider NameKathleen J Locker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578698270
PECOS PAC ID: 4082696968
Enrollment ID: I20120123000063
Provider NameDebra a Sharpe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760629547
PECOS PAC ID: 8426203944
Enrollment ID: I20130306000219
Provider NameGabriela P Orozco
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891968061
PECOS PAC ID: 0143475491
Enrollment ID: I20130313000044
Provider NameLaura G Eaton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629400064
PECOS PAC ID: 8921242025
Enrollment ID: I20130911000286
Provider NameRobert Eric Jackson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144305152
PECOS PAC ID: 9133101744
Enrollment ID: I20130920000128
Provider NameLauren L Mccroskey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861816704
PECOS PAC ID: 4789807256
Enrollment ID: I20140602001704
Provider NameDiane Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326284217
PECOS PAC ID: 5799904348
Enrollment ID: I20140915001279
Provider NameAlesha Mcconnell-carmony
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1740622281
PECOS PAC ID: 1658504550
Enrollment ID: I20140916001798
Provider NameCeleste Harnden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316235997
PECOS PAC ID: 5092957712
Enrollment ID: I20140919001898
Provider NameKatherine J Hodge
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548576549
PECOS PAC ID: 3274776067
Enrollment ID: I20141015001954
Provider NameKristina M Crocker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669889671
PECOS PAC ID: 5294957072
Enrollment ID: I20141111001113
Provider NameWhitney M Matchette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831504323
PECOS PAC ID: 0446576151
Enrollment ID: I20150223001666
Provider NameJennifer a Lay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508254350
PECOS PAC ID: 4789901646
Enrollment ID: I20150402001864
Provider NameHollie J Coates-hensley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689050593
PECOS PAC ID: 8527182161
Enrollment ID: I20160114000987
Provider NameMary R Mcnees
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043768435
PECOS PAC ID: 7719267426
Enrollment ID: I20170103001511
Provider NameKelly Barnett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235675943
PECOS PAC ID: 3779867262
Enrollment ID: I20170301000378
Provider NameTiffany Coffey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831648385
PECOS PAC ID: 9931477742
Enrollment ID: I20170620002945
Provider NameAndrea Baxley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568962413
PECOS PAC ID: 5698039188
Enrollment ID: I20180509002069
Provider NameJoellen B Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447742259
PECOS PAC ID: 7911257761
Enrollment ID: I20180829001632
Provider NameAlexandra M Bowling
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1073996948
PECOS PAC ID: 5597063495
Enrollment ID: I20180905002536
Provider NameAlexandria Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346726775
PECOS PAC ID: 1850641036
Enrollment ID: I20180910001185
Provider NameMegan J Bode
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194216184
PECOS PAC ID: 7719230838
Enrollment ID: I20181018002946
Provider NameJenna Brooke Cate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013495951
PECOS PAC ID: 1658617980
Enrollment ID: I20190108001816
Provider NameKrista Nicole Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477028256
PECOS PAC ID: 4385981018
Enrollment ID: I20190202000217
Provider NameBenjamin Whitfield
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114468444
PECOS PAC ID: 9739451410
Enrollment ID: I20190304002460
Provider NameKayla Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306329818
PECOS PAC ID: 3173862380
Enrollment ID: I20190306001845
Provider NameChristie L Henson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194293894
PECOS PAC ID: 3779821806
Enrollment ID: I20190717003683
Provider NameHannah Kai Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114561693
PECOS PAC ID: 3173953510
Enrollment ID: I20200424002913
Provider NameChristy Bantong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598295826
PECOS PAC ID: 5799057188
Enrollment ID: I20200604003242
Provider NameBrittany Baldwin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043740558
PECOS PAC ID: 6103198437
Enrollment ID: I20200716003137
Provider NameJennifer Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649801994
PECOS PAC ID: 5496179145
Enrollment ID: I20200728001308
Provider NameHannah Gump
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144823121
PECOS PAC ID: 6507272770
Enrollment ID: I20210312001654
Provider NameJean Bea Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538559745
PECOS PAC ID: 8921314162
Enrollment ID: I20210408000900
Provider NameJulie Markus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477127280
PECOS PAC ID: 5698178937
Enrollment ID: I20210726000393
Provider NameKelly Hinkle Pugh
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1447839105
PECOS PAC ID: 7113322348
Enrollment ID: I20210825003047
Provider NameKimberly a Crain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871255174
PECOS PAC ID: 1557737558
Enrollment ID: I20221017000942
Provider NameIna Vate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467963942
PECOS PAC ID: 0547515454
Enrollment ID: I20230127001562
Provider NameAmanda W Works
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215641915
PECOS PAC ID: 1658745856
Enrollment ID: I20230329001008
Provider NameKara Marino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295141471
PECOS PAC ID: 1951521913
Enrollment ID: I20230726003544
Provider NameAshley L Sanders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184306847
PECOS PAC ID: 2961866397
Enrollment ID: I20230918003036
Provider NameAmber Gray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215466735
PECOS PAC ID: 1759737042
Enrollment ID: I20231023002203
Provider NameHailey B Buehrer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003689670
PECOS PAC ID: 2961859897
Enrollment ID: I20231114001524
Provider NameLeslie Cooper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538667498
PECOS PAC ID: 9638433147
Enrollment ID: I20240415000594
Provider NameDana Dianne Lawson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255190013
PECOS PAC ID: 7911447750
Enrollment ID: I20240909000746
Provider NameCamille Lee Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639825300
PECOS PAC ID: 6709252893
Enrollment ID: I20250109000297
Provider NameMandy Stephens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497579916
PECOS PAC ID: 3779011143
Enrollment ID: I20250113002653
Provider NameJordan Davenport
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609601053
PECOS PAC ID: 6103355714
Enrollment ID: I20250130003924
Provider NameErin Hale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952019697
PECOS PAC ID: 4587192745
Enrollment ID: I20250207001946
Provider NameCheryl Ann Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275396301
PECOS PAC ID: 5597295204
Enrollment ID: I20250211001834
Provider NamePatricia Mcdougall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326252685
PECOS PAC ID: 8426139155
Enrollment ID: I20250305003982
Provider NameJoselyn Ghulam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992137277
PECOS PAC ID: 5799005351
Enrollment ID: I20250321000497
Provider NameGalina Rader
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932138658
PECOS PAC ID: 1658314315
Enrollment ID: I20250321003077
Provider NameCristy Rickita Mccrobey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003616459
PECOS PAC ID: 2365961133
Enrollment ID: I20250523002297
Provider NameMckayla Mason
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073403127
PECOS PAC ID: 9133628878
Enrollment ID: I20250819002299
Provider NameErin Patricia Ann Baliad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225315310
PECOS PAC ID: 7113189838
Enrollment ID: I20250904000347
Provider NameShiva Mohan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821619792
PECOS PAC ID: 5193141794
Enrollment ID: I20251024000839
Provider NameHelen Kim Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457095150
PECOS PAC ID: 2466940945
Enrollment ID: I20251024004050
Provider NameKatherine Sanderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669117610
PECOS PAC ID: 0648658617
Enrollment ID: I20260513003127

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.