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JAGGER KUBIC
NPI 1164351797
Nurse Practitioner - Family in Jefferson City, TN

Active since May 18, 2026PECOS Enrolled
724 N COLLEGE ST, JEFFERSON CITY, TN 37760(865) 471-3425 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jagger Kubic NPPES

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

JAGGER KUBIC (NPI 1164351797) is an individual family provider in Jefferson City, Tennessee, licensed in Tennessee (41476) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164351797
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAGGER KUBIC
Location Address724 N COLLEGE STJefferson City, TN 37760-1994
Mailing Address1646 Russell AveJefferson City, TN 37760-2204
Phone(865) 471-3425
Sole ProprietorNo
Enumeration DateMay 18, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1164351797 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
License✔ Licensed in TN · 41476
724 N COLLEGE ST, Jefferson City, TN 37760
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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 (PECOS)

Jagger Kubic 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 37760 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.

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 Jagger Kubic's NPI number?

The NPI number for Jagger Kubic is 1164351797. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Jagger Kubic located?

Jagger Kubic practices at 724 N College St, Jefferson City, TN 37760. The listed phone number is (865) 471-3425.

What is Jagger Kubic's specialty?

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

Is Jagger Kubic enrolled in Medicare?

Yes. Jagger Kubic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jagger Kubic was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.