JESSICA MAZE MSN, FNP
NPI 1497202840
Nurse Practitioner - Family in Jefferson City, TN
About Jessica Maze Msn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA MAZE MSN, FNP (NPI 1497202840) is an individual family provider in Jefferson City, Tennessee, licensed in Tennessee (21706) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Maze Msn, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Maze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jefferson City, TN 37760
- Reassigned Medicare billing, Tennessee enrollment
- 1,003 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 37760 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JEFFERSON CITY, TN 37760
JEFFERSON CITY, TN 37760
JEFFERSON CITY, TN 37760
JEFFERSON CITY, TN 37760
JEFFERSON CITY, TN 37760
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 Maze's NPI number?
The NPI number for Jessica Maze is 1497202840. It was assigned to this individual provider in the NPPES registry on September 1, 2016.
Where is Jessica Maze located?
Jessica Maze practices at 153 E Broadway Blvd, Jefferson City, TN 37760. The listed phone number is (865) 475-9969.
What is Jessica Maze's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Maze enrolled in Medicare?
Yes. Jessica Maze is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Maze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Maze reassigns Medicare benefits to Summit Medical Group,pllc (Jefferson City, TN). The 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 Maze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Maze was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jessica Maze, MSN, FNP · NPI 1497202840
Family physician in Jefferson City, Tennessee. Individual provider, active in the CMS NPPES registry since September 1, 2016.
## Identity
- **NPI:** 1497202840 (Entity type: Individual)
- **Enumerated:** September 1, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 21706 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 153 E BROADWAY BLVD, Jefferson City, TN 37760-2517
- **Phone:** (865) 475-9969 · **Fax:** (865) 475-9901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Summit Medical Group,pllc (NPI 1952560625, Jefferson City, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1497202840) · Data from the CMS NPPES public registry.