JESSICA MORMANDO DO
NPI 1104288042
Surgery in Clarksville, TN

Q: What is Jessica Mormando's NPI number?

The NPI number for Jessica Mormando is 1104288042. It was assigned to this individual provider in the NPPES registry on March 21, 2016. The provider is also known as Jessica Lynn Opsal.

Q: What is Jessica Mormando's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Mormando was last updated on April 29, 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 March 21, 2016PECOS EnrolledAccepts Medicare Assignment

647 DUNLOP LN STE 203, CLARKSVILLE, TN 37040(931) 502-3700(931) 502-3705 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2026, Aug 2, 2022, Mar 21, 2016 (3 updates tracked since 2016).

On this page

About Jessica Mormando Do NPPES

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

JESSICA MORMANDO DO (NPI 1104288042) is an individual surgery provider in Clarksville, Tennessee, licensed in Tennessee (MD52396) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-clarksville, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1104288042

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameJESSICA MORMANDOCredential: DO

Location Address647 DUNLOP LN STE 203Clarksville, TN 37040-5165

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 875-8618 · Fax (615) 322-5048

Phone(931) 502-3700

Fax(931) 502-3705

Sole ProprietorNo

Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2016

Enumeration DateMarch 21, 2016

Last NPPES UpdateApril 29, 20263 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1104288042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TN · MD52396

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

647 DUNLOP LN STE 203, Clarksville, TN 37040

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Other Names 1

Former Name (1)Jessica Lynn Opsal

Secondary Practice Location 1

Location 14190 City AvenuePhiladelphia, PA 19131 · Phone (215) 871-6690

Other Identifiers 1

MedicaidQ076170TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Mormando Do 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 ID6002198132

PECOS Enrollment IDI20220824003603

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.

Medicare Billing Reassignments

Medicare enrollment records show Jessica Mormando reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clarksville Physician Services LLC

0.1 mi

General Practice

651 DUNLOP LN
Clarksville, TN 37040

Reassigned Medicare billing, Tennessee enrollment
29 clinicians in this Medicare group

NPI 1083657829 (931) 502-5080

Ut Methodist Physicians LLC

184 mi

Internal Medicine

1325 EASTMORELAND AVE STE 310
Memphis, TN 38104

Reassigned Medicare billing, Tennessee enrollment
170 clinicians in this Medicare group

NPI 1427317908 (901) 758-7970

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

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.

15 services15 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440035

Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County

Emergency services Birthing friendly

Tristar Northcrest Medical Center

Acute Care Hospitals · Springfield, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440065

Location100 Northcrest DriveSpringfield, TN 37172 · Robertson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

ALAN MEYER WERNER MD

Surgery (Vascular Surgery)