JAKE MILTON TREY TERRY III NP
NPI 1063371854
Nurse Practitioner in Knoxville, TN

Q: What is Jake Terry's NPI number?

The NPI number for Jake Terry is 1063371854. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Q: What is Jake Terry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Terry was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since January 19, 2026PECOS EnrolledAccepts Medicare Assignment

8635 MIDDLEBROOK PIKE, KNOXVILLE, TN 37923(865) 824-0079 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jake Milton Trey Terry Iii Np NPPES

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

JAKE MILTON TREY TERRY III NP (NPI 1063371854) is an individual nurse practitioner in Knoxville, Tennessee, licensed in Tennessee (34884) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2023).

NPPES Registry Identity

NPI1063371854

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJAKE MILTON TREY TERRY IIICredential: NP

Location Address8635 MIDDLEBROOK PIKEKnoxville, TN 37923-1612

Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747

Phone(865) 824-0079

Sole ProprietorYes

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2023

Enumeration DateJanuary 19, 2026

NPPES CertifiedJanuary 19, 2026

✔ NPI 1063371854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 34884

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

8635 MIDDLEBROOK PIKE, Knoxville, TN 37923

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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

Jake Milton Trey Terry Iii Np 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 ID5395226740

PECOS Enrollment IDI20260224001300

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON KATE DYAR PA-C

Physician Assistant (Medical)