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LORI JANENE JOINES APRN,BC
NPI 1184659815
Nurse Practitioner - Family in Cookeville, TN

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
71.71/100
CMS Quality Rating
100 W 4TH ST STE 350, COOKEVILLE, TN 38501(931) 783-2753(931) 783-2036 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2022, May 27, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Lori Janene Joines Aprn,bc NPPES

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

LORI JANENE JOINES APRN,BC (NPI 1184659815) is an individual family provider in Cookeville, Tennessee, licensed in Tennessee (RN 72468) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Cookeville Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184659815
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI JANENE JOINESCredential: APRN,BC
Location Address100 W 4TH ST STE 350Cookeville, TN 38501-4225
Mailing Address140 W 7th StCookeville, TN 38501-1726 · (931) 783-5582 · Fax (931) 526-6760
Phone(931) 783-2753
Fax(931) 783-2036
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1992
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 28, 20225 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1184659815 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 · RN 72468
100 W 4TH ST STE 350, Cookeville, TN 38501
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Medical Center Blvd, Cookeville Regional Medical CenterCookeville, TN 38501 · Phone (931) 783-5721 · Fax (931) 783-2069
Location 2340 N Cedar AveCookeville, TN 38501-2421 · Phone (931) 783-5353 · Fax (931) 783-4994

Other Identifiers 4

Other6075755TN · Bcbs - Crmg Tin: 200992504
Medicaid7100411000KY
MedicaidQ019281TN
Other6059324TN · Bcbs - Tin: 62-6002166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Janene Joines Aprn,bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466420336
PECOS Enrollment IDI20040918000153
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lori Joines reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cookeville Regional Medical Center
0.2 mi
Hospitalist
1 MEDICAL CENTER BLVD
Cookeville, TN 38501
  • Reassigned Medicare billing, Tennessee enrollment
  • 151 clinicians in this Medicare group
NPI 1023397031 (931) 783-5857
Cookeville Regional Medical Group, Inc
0.3 mi
Multi-Specialty
140 W 7TH ST
Cookeville, TN 38501
  • Reassigned Medicare billing, Tennessee enrollment
  • 124 clinicians in this Medicare group
NPI 1649202102 (931) 783-5582

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
166 services145 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
78 services78 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
54 services52 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
32 services30 patients
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.
25 services24 patients
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic G2012
A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.34
Promoting Interoperability93
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers306 claims306 services$43.98 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers212 claims212 services$110.71 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers209 claims494 services$43.46 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers160 claims788 services$24.06 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers101 claims531 services$18.48 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
18 suppliers267 claims267 services$69.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lori Joines's NPI number?

The NPI number for Lori Joines is 1184659815. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Lori Joines located?

Lori Joines practices at 100 W 4th St Ste 350, Cookeville, TN 38501. The listed phone number is (931) 783-2753.

What is Lori Joines's specialty?

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

Is Lori Joines enrolled in Medicare?

Yes. Lori Joines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lori Joines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Joines reassigns Medicare benefits to 2 organizations: Cookeville Regional Medical Center (Cookeville, TN) and Cookeville Regional Medical Group, Inc (Cookeville, TN). Each 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 Lori Joines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Joines 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 Lori Joines 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.

Is Lori Joines affiliated with any hospitals?

According to CMS data, Lori Joines is affiliated with Cookeville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lori Joines was last updated on July 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.