JAY MICHAEL TRUSSLER DO PC
NPI 1164618229
Clinic/Center - Primary Care in Manchester, TN
About Jay Michael Trussler Do Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAY MICHAEL TRUSSLER DO PC (NPI 1164618229) is a healthcare organization registered as a primary care in Manchester, Tennessee and active in the NPI registry since September 2007. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Monteagle, and lists Brooke Sain, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jay Michael Trussler Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Jay Michael Trussler Do PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D1095622
Jay Michael Trussler, Do PC · Manchester, TNCertificate of Waiver 44D2052184
Jay Michael Trussler Do PC · Monteagle, TNFrequently 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 Jay Michael Trussler Do PC's NPI number?
The NPI number for Jay Michael Trussler Do PC is 1164618229. It was assigned to this organization in the NPPES registry on September 21, 2007.
Where is Jay Michael Trussler Do PC located?
Jay Michael Trussler Do PC is located at 585 Interstate Dr Suite B, Manchester, TN 37355. The listed phone number is (931) 728-9000.
What is Jay Michael Trussler Do PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Jay Michael Trussler Do PC enrolled in Medicare?
Yes. Jay Michael Trussler Do PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jay Michael Trussler Do PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Jay Michael Trussler Do PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8) and Family Practice (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jay Michael Trussler Do PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Jay Michael Trussler Do PC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jay Michael Trussler Do PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jay Michael Trussler Do PC was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jay Michael Trussler Do Pc · NPI 1164618229
Primary Care organization in Manchester, Tennessee. Organization record, active in the CMS NPPES registry since September 21, 2007.
## Identity
- **NPI:** 1164618229 (Entity type: Organization)
- **Enumerated:** September 21, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Brooke Sain, PRACTICE MANAGER
## Practice location
- **Address:** 585 INTERSTATE DR, SUITE B, Manchester, TN 37355-3191
- **Phone:** (931) 728-9000 · **Fax:** (931) 728-2726
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (1); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2022
- **Other identifiers:** Medicaid 3730274 (TN)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164618229) · Data from the CMS NPPES public registry.