JACQUELINE MARIE WINDHAM CNP
NPI 1104394279
Nurse Practitioner - Psychiatric/Mental Health in Knoxville, TN

Q: What is Jacqueline Windham's NPI number?

The NPI number for Jacqueline Windham is 1104394279. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Q: What is Jacqueline Windham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 07, 2018PECOS Enrolled

1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909(865) 970-9800 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2025, Dec 10, 2020, Nov 7, 2018 (3 updates tracked since 2018).

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About Jacqueline Marie Windham Cnp NPPES

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

JACQUELINE MARIE WINDHAM CNP (NPI 1104394279) is an individual psychiatric/mental health provider in Knoxville, Tennessee, licensed in Tennessee (36405) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104394279

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJACQUELINE MARIE WINDHAMCredential: CNP

Location Address1451 DOWELL SPRINGS BLVDKnoxville, TN 37909-2441

Mailing Address1451 Dowell Springs BlvdKnoxville, TN 37909-2441 · (865) 970-9800

Phone(865) 970-9800

Sole ProprietorNo

Enumeration DateNovember 7, 2018

Last NPPES UpdateJuly 31, 20253 updates tracked since enumeration

NPPES CertifiedJuly 31, 2025

✔ NPI 1104394279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TN · 36405

1451 DOWELL SPRINGS BLVD, Knoxville, TN 37909

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Secondary Practice Locations 2

Location 110 Gove StEast Boston, MA 02128-1920 · Phone (617) 569-5800 ext. 4872 · Fax (617) 568-4756

Location 21 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · Phone (415) 658-6791 · Fax (415) 252-7176

Accepted Insurance

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

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 Marie Windham Cnp 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.

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.

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.

CARLA TIPTON APN

Nurse Practitioner (Psychiatric/Mental Health)