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JACQUELINE GROOMS OLIVER PNP-AC
NPI 1467817353
Nurse Practitioner - Pediatrics in Johnson City, TN

Active since December 21, 2015PECOS Enrolled
329 WESLEY ST, JOHNSON CITY, TN 37601(423) 631-0055 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2019, Dec 21, 2015 (2 updates tracked since 2015).

About Jacqueline Grooms Oliver Pnp-ac NPPES

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

JACQUELINE GROOMS OLIVER PNP-AC (NPI 1467817353) is an individual pediatrics provider in Johnson City, Tennessee, licensed in Tennessee (32794) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1467817353
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJACQUELINE GROOMS OLIVERCredential: PNP-AC
Location Address329 WESLEY STJohnson City, TN 37601-1772
Mailing Address329 Wesley StJohnson City, TN 37601-1772 · (423) 631-0055
Phone(423) 631-0055
Sole ProprietorNo
Enumeration DateDecember 21, 2015
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
✔ NPI 1467817353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in TN · 32794✔ Licensed in NC · 5008262
329 WESLEY ST, Johnson City, TN 37601
Open in Google Maps ↗

Secondary Practice Location 1

Location 12151 Century LnJohnson City, TN 37604-4469 · Phone (423) 926-2500 · Fax (423) 926-5999

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Grooms Oliver Pnp-ac 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37601 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 4

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

KIDS FIRST CHILDREN'S URGENT CARE
Pediatrics
329 WESLEY ST
JOHNSON CITY, TN 37601
Washington County (423) 631-0055
DEANNA JO WILLIAMSON
Clinic/Center (Sleep Disorder Diagnostic)
329 WESLEY ST, SUITE 3
JOHNSON CITY, TN 37601
Washington County (423) 282-0093
MR. ALLEN R POWELL PA-C
Physician Assistant (Medical)
329 WESLEY ST, SUITE 1
JOHNSON CITY, TN 37601
Washington County (423) 282-3150
LOGAN NICOLE THOMAS
Nurse Practitioner (Pediatrics)
329 WESLEY ST
JOHNSON CITY, TN 37601
Washington County (423) 631-0055

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 Jacqueline Oliver's NPI number?

The NPI number for Jacqueline Oliver is 1467817353. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Jacqueline Oliver located?

Jacqueline Oliver practices at 329 Wesley St, Johnson City, TN 37601. The listed phone number is (423) 631-0055.

What is Jacqueline Oliver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jacqueline Oliver enrolled in Medicare?

Yes. Jacqueline Oliver is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Oliver accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Jacqueline Oliver 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 Jacqueline Oliver was last updated on May 20, 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.