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JACLYN THUMAN APRN
NPI 1053916528
Nurse Practitioner - Family in Knoxville, TN

Active since December 02, 2020PECOS EnrolledAccepts Medicare Assignment
77.91/100
CMS Quality Rating
1540 MEMBER LN, KNOXVILLE, TN 37909(865) 579-0552 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2024, Dec 2, 2020 (2 updates tracked since 2020).

About Jaclyn Thuman Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN THUMAN APRN (NPI 1053916528) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (0000032233) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Sweetwater Hospital Association, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053916528
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACLYN THUMANCredential: APRN
Location Address1540 MEMBER LNKnoxville, TN 37909-1215
Mailing Address607 Duncan Hollow RdHarriman, TN 37748-7921 · (386) 631-5047
Phone(865) 579-0552
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 2, 2020
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1053916528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TN · 0000032233✔ Licensed in FL · 11010333
1540 MEMBER LN, Knoxville, TN 37909
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Thuman Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931511912
PECOS Enrollment IDI20221206000564
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
474 services305 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
143 services118 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
104 services93 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
100 services87 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sweetwater Hospital Association

Acute Care Hospitals · Sweetwater, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440084
Location304 Wright StSweetwater, TN 37874 · Monroe County
Emergency services Birthing friendly

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost26.37

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Thuman's NPI number?

The NPI number for Jaclyn Thuman is 1053916528. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Jaclyn Thuman located?

Jaclyn Thuman practices at 1540 Member Ln, Knoxville, TN 37909. The listed phone number is (865) 579-0552.

What is Jaclyn Thuman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jaclyn Thuman enrolled in Medicare?

Yes. Jaclyn Thuman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaclyn Thuman accept?

Health plans from AvMed and BlueCross BlueShield of Tennessee list Jaclyn Thuman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jaclyn Thuman affiliated with any hospitals?

According to CMS data, Jaclyn Thuman is affiliated with Sweetwater Hospital Association and Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jaclyn Thuman was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.