JACQUELINE CAROL DOTSON FNP-BC
NPI 1104309681
Nurse Practitioner - Family in Sevierville, TN

Q: What is Jacqueline Dotson's NPI number?

The NPI number for Jacqueline Dotson is 1104309681. It was assigned to this individual provider in the NPPES registry on September 11, 2018. The provider is also known as Jacqueline Carol Crockett.

Q: What is Jacqueline Dotson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Dotson was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 11, 2018PECOS Enrolled

641 MIDDLE CREEK RD, SEVIERVILLE, TN 37862(865) 428-0583 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2021, Aug 28, 2019, Sep 11, 2018 (3 updates tracked since 2018).

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About Jacqueline Carol Dotson Fnp-bc NPPES

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

JACQUELINE CAROL DOTSON FNP-BC (NPI 1104309681) is an individual family provider in Sevierville, Tennessee, licensed in Tennessee (APN24531) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104309681

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE CAROL DOTSONCredential: FNP-BC

Location Address641 MIDDLE CREEK RDSevierville, TN 37862-5014

Mailing Address1275 Dick Lonas RdKnoxville, TN 37909-1382 · (865) 584-4747

Phone(865) 428-0583

Sole ProprietorNo

Enumeration DateSeptember 11, 2018

Last NPPES UpdateJuly 2, 20213 updates tracked since enumeration

NPPES CertifiedJuly 2, 2021

✔ NPI 1104309681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · APN24531

Also ListedRegistered NurseTaxonomy 163W00000X · License RN176793 (TN)

641 MIDDLE CREEK RD, Sevierville, TN 37862

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Other Names 1

Former Name (1)Jacqueline Carol Crockett

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Carol Dotson Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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 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.

16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37862 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.

Other Providers at the Same Location NPPES 11

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

PHYLISS A. SHULTS FNP

Nurse Practitioner (Family)