JACOB FUQUA PA-C
NPI 1366335960
Physician Assistant in Oak Ridge, TN

Q: What is Jacob Fuqua's NPI number?

The NPI number for Jacob Fuqua is 1366335960. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Q: What is Jacob Fuqua's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Fuqua was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 02, 2025PECOS EnrolledAccepts Medicare Assignment

961 OAK RIDGE TPKE, OAK RIDGE, TN 37830(865) 375-8910(865) 483-3807 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacob Fuqua Pa-c NPPES

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

JACOB FUQUA PA-C (NPI 1366335960) is an individual physician assistant in Oak Ridge, Tennessee, licensed in Tennessee (6571) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Leconte Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1366335960

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACOB FUQUACredential: PA-C

Location Address961 OAK RIDGE TPKEOak Ridge, TN 37830-8832

Mailing AddressPo Box 306556Nashville, TN 37230-6556 · (865) 694-0062 · Fax (865) 694-7907

Phone(865) 375-8910

Fax(865) 483-3807

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJune 2, 2025

NPPES CertifiedJune 2, 2025

✔ NPI 1366335960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 6571

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

961 OAK RIDGE TPKE, Oak Ridge, TN 37830

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Jacob Fuqua Pa-c 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 ID4789175415

PECOS Enrollment IDI20251111001820

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.

Hospital Affiliations CMS Care Compare

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

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440081

Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

JENNIFER CORNELLISON RN

Registered Nurse