JARED MICHAEL WINGERTER MD
NPI 1245819440
Student in an Organized Health Care Education/Training Program in Knoxville, TN

Q: What is Jared Wingerter's NPI number?

The NPI number for Jared Wingerter is 1245819440. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Jared Wingerter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jared Wingerter was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 05, 2021PECOS Enrolled

1924 ALCOA HWY # U-63, KNOXVILLE, TN 37920(865) 305-9123(865) 305-4501 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Apr 5, 2021 (2 updates tracked since 2021).

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About Jared Michael Wingerter Md NPPES

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

JARED MICHAEL WINGERTER MD (NPI 1245819440) is an individual student in an organized health care education/training program in Knoxville, Tennessee and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245819440

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJARED MICHAEL WINGERTERCredential: MD

Location Address1924 ALCOA HWY # U-63Knoxville, TN 37920-1511

Mailing Address1924 Alcoa Hwy # U-63Knoxville, TN 37920-1511 · (865) 305-9123 · Fax (865) 305-4501

Phone(865) 305-9123

Fax(865) 305-4501

Sole ProprietorNo

Enumeration DateApril 5, 2021

Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1245819440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1924 ALCOA HWY # U-63, Knoxville, TN 37920

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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)

Jared Michael Wingerter Md 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.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEVIN GILLIS

Student in an Organized Health Care Education/Training Program