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AMANDA DERISE-JEWELL NP
NPI 1417486093
Nurse Practitioner in Crossville, TN

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
4325 HIGHWAY 127 N, CROSSVILLE, TN 38571(931) 484-8020 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2025, Jun 7, 2022, Jun 7, 2017 (3 updates tracked since 2017).

About Amanda Derise-jewell Np NPPES

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

AMANDA DERISE-JEWELL NP (NPI 1417486093) is an individual nurse practitioner in Crossville, Tennessee, licensed in Tennessee (27432) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Crossville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1417486093
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA DERISE-JEWELLCredential: NP
Location Address4325 HIGHWAY 127 NCrossville, TN 38571-0587
Mailing Address4325 Highway 127 NCrossville, TN 38571-0501 · (931) 484-8020 · Fax (931) 250-5667
Phone(931) 484-8020
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 7, 2017
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1417486093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 27432
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4325 HIGHWAY 127 N, Crossville, TN 38571
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Secondary Practice Location 1

Location 163 Taylor AveCrossville, TN 38555-4567 · Phone (931) 250-5488 · Fax (931) 250-5667

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company.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

Amanda Derise-jewell Np 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 ID547530941
PECOS Enrollment IDI20201204000313
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 Amanda Derise-jewell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Highland Behavioral Healthcare
4.0 mi
Psychiatric/Mental Health
63 TAYLOR AVE
Crossville, TN 38555
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
NPI 1093325557 (931) 250-5488
Volunteer Behavioral Health Care System
78 mi
Counselor
1504 WILLIAMS DR
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 66 clinicians in this Medicare group
NPI 1043267107 (615) 278-2241

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 2

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.
168 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38571 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.

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 Amanda Derise-jewell's NPI number?

The NPI number for Amanda Derise-jewell is 1417486093. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Amanda Derise-jewell located?

Amanda Derise-jewell practices at 4325 Highway 127 N, Crossville, TN 38571. The listed phone number is (931) 484-8020.

What is Amanda Derise-jewell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amanda Derise-jewell enrolled in Medicare?

Yes. Amanda Derise-jewell 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 Amanda Derise-jewell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Derise-jewell reassigns Medicare benefits to 2 organizations: Highland Behavioral Healthcare (Crossville, TN) and Volunteer Behavioral Health Care System (Murfreesboro, 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 Amanda Derise-jewell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Derise-jewell accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and Oscar Insurance Company list Amanda Derise-jewell 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 Amanda Derise-jewell was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.