Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEROME PATRICK TINA
NPI 1467187229
Physician Assistant - Medical in Jonesborough, TN

Q: What is Jerome Tina's NPI number?

The NPI number for Jerome Tina is 1467187229. It was assigned to this individual provider in the NPPES registry on July 17, 2022.

Q: What is Jerome Tina's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jerome Tina was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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 July 17, 2022PECOS EnrolledAccepts Medicare Assignment

155 JIM FORD RD, JONESBOROUGH, TN 37659(516) 967-0805 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2026, Feb 20, 2023, Aug 10, 2022 and 1 more (4 updates tracked since 2022).

On this page

About Jerome Patrick Tina NPPES

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

JEROME PATRICK TINA (NPI 1467187229) is an individual medical provider in Jonesborough, Tennessee, licensed in Tennessee (5240) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1467187229

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJEROME PATRICK TINA

Location Address155 JIM FORD RDJonesborough, TN 37659-3129

Mailing Address155 Jim Ford RdJonesborough, TN 37659-3129 · (516) 967-0805

Phone(516) 967-0805

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 17, 2022

Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1467187229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in TN · 5240✔ Licensed in VA · 0110010539

Also ListedPhysician AssistantTaxonomy 363A00000X · License 5240 (TN), 0110010539 (VA)

155 JIM FORD RD, Jonesborough, TN 37659

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Jerome Patrick Tina 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 ID5092188813

PECOS Enrollment IDI20230227000797, I20250512001384

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.

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

46 services46 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

34 services34 patients

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 Jerome Tina's NPI number?

The NPI number for Jerome Tina is 1467187229. It was assigned to this individual provider in the NPPES registry on July 17, 2022.

Where is Jerome Tina located?

Jerome Tina practices at 155 Jim Ford Rd, Jonesborough, TN 37659. The listed phone number is (516) 967-0805.

What is Jerome Tina's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jerome Tina enrolled in Medicare?

Yes. Jerome Tina 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 Jerome Tina accept?

Health plans from Oscar Insurance Company list Jerome Tina 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 Jerome Tina was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.