MRS. JACKIE GWENN TAWODA FNP
NPI 1487368049
Nurse Practitioner - Family in Pineville, KY

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment
850 RIVERVIEW AVE, PINEVILLE, KY 40977(606) 654-4526 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jackie Gwenn Tawoda Fnp NPPES

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

MRS. JACKIE GWENN TAWODA FNP (NPI 1487368049) is an individual family provider in Pineville, Kentucky, licensed in Kentucky (3018842) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Pineville Community Health Center, Inc, and is a graduate of Lincoln Memorial University Medical Department (2022).

NPPES Registry Identity

NPI1487368049
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JACKIE GWENN TAWODACredential: FNP
Location Address850 RIVERVIEW AVEPineville, KY 40977-1452
Mailing Address268 Sadie LnEwing, VA 24248-8797
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2022
Enumeration DateJanuary 9, 2023
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
NPI 1487368049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3018842
850 RIVERVIEW AVE, Pineville, KY 40977

Other Names 1

Former Name (1)Miss Jackie Ellis

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

Mrs. Jackie Gwenn Tawoda Fnp 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 ID1658745401
PECOS Enrollment IDI20230320000556
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.

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180154
Location850 Riverview AvenuePineville, KY 40977 · Bell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40977 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 20

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

General Acute Care Hospital
850 RIVERVIEW AVE
PINEVILLE, KY 40977
Pharmacy (Community/Retail Pharmacy)
850 RIVERVIEW AVE
PINEVILLE, KY 40977
Clinic/Center (Rural Health)
850 RIVERVIEW AVE
PINEVILLE, KY 40977
Clinic/Center (Rural Health)
850 RIVERVIEW AVE
PINEVILLE, KY 40977
Skilled Nursing Facility
850 RIVERVIEW AVE
PINEVILLE, KY 40977
Home Health
850 RIVERVIEW AVE
PINEVILLE, KY 40977
Nurse Practitioner (Psychiatric/Mental Health)
850 RIVERVIEW AVE
PINEVILLE, KY 40977
Orthopaedic Surgery
850 RIVERVIEW AVE
PINEVILLE, KY 40977

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 Jackie Tawoda's NPI number?

The NPI number for Jackie Tawoda is 1487368049. It was assigned to this individual provider in the NPPES registry on January 9, 2023. The provider is also known as Miss Jackie Ellis.

Where is Jackie Tawoda located?

Jackie Tawoda practices at 850 Riverview Ave, Pineville, KY 40977. The listed phone number is (606) 654-4526.

What is Jackie Tawoda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jackie Tawoda enrolled in Medicare?

Yes. Jackie Tawoda 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.

Is Jackie Tawoda affiliated with any hospitals?

According to CMS data, Jackie Tawoda is affiliated with Pineville Community Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Jackie Tawoda was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.