JESSICA LYNN ALLEN FNP-C, PMHNP-BC
NPI 1376205617
Nurse Practitioner - Psychiatric/Mental Health in Bolivar, TN

Active since October 13, 2021PECOS Enrolled
623 MOSS LN, BOLIVAR, TN 38008(731) 217-6641 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2024, Jul 9, 2024, Jul 7, 2023 and 1 more (4 updates tracked since 2021).

About Jessica Lynn Allen Fnp-c, Pmhnp-bc NPPES

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

JESSICA LYNN ALLEN FNP-C, PMHNP-BC (NPI 1376205617) is an individual psychiatric/mental health provider in Bolivar, Tennessee, licensed in Tennessee (30463) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376205617
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA LYNN ALLENCredential: FNP-C, PMHNP-BC
Location Address623 MOSS LNBolivar, TN 38008-1074
Mailing Address623 Moss LnBolivar, TN 38008-1074 · (731) 217-6641
Sole ProprietorYes
Enumeration DateOctober 13, 2021
Last NPPES UpdateAugust 7, 20244 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1376205617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 30463
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 30463 (TN)
623 MOSS LN, Bolivar, TN 38008

Secondary Practice Locations 2

Location 180 Tate DrOakland, TN 38060-6031 · Phone (731) 217-6641
Location 2793 Tennessee StBolivar, TN 38008-2441 · Phone (731) 228-9068

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)

Jessica Lynn Allen Fnp-c, Pmhnp-bc 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.

Medicare Billing Reassignments

2

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

Rural Health
793 TENNESSEE ST
Bolivar, TN 38008
  • Reassigned Medicare billing, Tennessee enrollment
  • 5 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Tennessee enrollment
  • 528 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 38008 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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
623 MOSS LN
BOLIVAR, TN 38008

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 Jessica Allen's NPI number?

The NPI number for Jessica Allen is 1376205617. It was assigned to this individual provider in the NPPES registry on October 13, 2021.

Where is Jessica Allen located?

Jessica Allen practices at 623 Moss Ln, Bolivar, TN 38008. The listed phone number is (731) 217-6641.

What is Jessica Allen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Allen enrolled in Medicare?

Yes. Jessica Allen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Allen reassigns Medicare benefits to 2 organizations: Brown Behavioral Health Services (Bolivar, TN) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Jessica Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Allen accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Jessica Allen 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 Jessica Allen was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.