JACLYN M PEREZ FNP-C
NPI 1174779375
Nurse Practitioner - Family in Clarksville, TN
About Jaclyn M Perez Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN M PEREZ FNP-C (NPI 1174779375) is an individual family provider in Clarksville, Tennessee, licensed in Tennessee (13518) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaclyn M Perez Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaclyn Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Murfreesboro, TN 37129
- Reassigned Medicare billing, Tennessee enrollment
- 310 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jaclyn Perez's NPI number?
The NPI number for Jaclyn Perez is 1174779375. It was assigned to this individual provider in the NPPES registry on August 7, 2008.
Where is Jaclyn Perez located?
Jaclyn Perez practices at 800 Weatherly Dr Ste 201, Clarksville, TN 37043. The listed phone number is (931) 648-1912.
What is Jaclyn Perez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaclyn Perez enrolled in Medicare?
Yes. Jaclyn Perez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaclyn Perez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Perez reassigns Medicare benefits to Crossroads Urgent Care PLLC (Murfreesboro, TN). The 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 Jaclyn Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Perez accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Jaclyn Perez 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 Jaclyn Perez was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jaclyn M Perez, FNP-C · NPI 1174779375
Family physician in Clarksville, Tennessee. Individual provider, active in the CMS NPPES registry since August 7, 2008.
## Identity
- **NPI:** 1174779375 (Entity type: Individual)
- **Enumerated:** August 7, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 13518 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 WEATHERLY DR, STE 201, Clarksville, TN 37043-8957
- **Phone:** (931) 648-1912 · **Fax:** (931) 648-1277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Crossroads Urgent Care PLLC (NPI 1366644361, Murfreesboro, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2013
- **Other identifiers:** Medicare PIN 103I500281 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1174779375) · Data from the CMS NPPES public registry.