JACI KATE QUALLS FNP-BC
NPI 1194536367
Nurse Practitioner - Family in Livingston, TN
About Jaci Kate Qualls Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACI KATE QUALLS FNP-BC (NPI 1194536367) is an individual family provider in Livingston, Tennessee, licensed in Tennessee (38006) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Cookeville Regional Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jaci Kate Qualls Fnp-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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cookeville Regional Medical Center
Acute Care Hospitals · Cookeville, TNLivingston Regional Hospital
Acute Care Hospitals · Livingston, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38570 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LIVINGSTON, TN 38570
LIVINGSTON, TN 38570
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 Jaci Qualls's NPI number?
The NPI number for Jaci Qualls is 1194536367. It was assigned to this individual provider in the NPPES registry on January 16, 2025.
Where is Jaci Qualls located?
Jaci Qualls practices at 5751 Bradford Hicks Dr, Livingston, TN 38570. The listed phone number is (931) 823-3030.
What is Jaci Qualls's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaci Qualls enrolled in Medicare?
Yes. Jaci Qualls 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.
What insurance does Jaci Qualls accept?
Health plans from BlueCross BlueShield of Tennessee list Jaci Qualls 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 Jaci Qualls affiliated with any hospitals?
According to CMS data, Jaci Qualls is affiliated with Cookeville Regional Medical Center and Livingston Regional Hospital.
When was this NPI record last updated?
The NPPES record for Jaci Qualls was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jaci Kate Qualls, FNP-BC · NPI 1194536367
Family physician in Livingston, Tennessee. Individual provider, active in the CMS NPPES registry since January 16, 2025.
## Identity
- **NPI:** 1194536367 (Entity type: Individual)
- **Enumerated:** January 16, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 38006 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 5751 BRADFORD HICKS DR, Livingston, TN 38570-2237
- **Phone:** (931) 823-3030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194536367) · Data from the CMS NPPES public registry.