CAROL JONES APN
NPI 1508232661
Clinical Nurse Specialist in Johnson City, TN

Active since August 12, 2015PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-6831 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carol Jones Apn NPPES

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

CAROL JONES APN (NPI 1508232661) is an individual clinical nurse specialist in Johnson City, Tennessee, licensed in Tennessee (17922) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508232661
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameCAROL JONESCredential: APN
Location Address400 N STATE OF FRANKLIN RDJohnson City, TN 37604-6035
Mailing Address400 N State Of Franklin RdJohnson City, TN 37604-6035 · (423) 431-6831
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 12, 2015
NPI 1508232661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License Licensed in TN · 17922
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
400 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Accepted 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

Carol Jones Apn 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 ID6800224924
PECOS Enrollment IDI20200323002921
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440006
Location3441 Dickerson PikeNashville, TN 37207 · Davidson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.85
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Cardiovascular Disease)
400 N STATE OF FRANKLIN RD, ROOM LK015
JOHNSON CITY, TN 37604
Internal Medicine (Critical Care Medicine)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Emergency Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Physician Assistant
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Family Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Pulmonary Disease)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604

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 Carol Jones's NPI number?

The NPI number for Carol Jones is 1508232661. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Where is Carol Jones located?

Carol Jones practices at 400 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-6831.

What is Carol Jones's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Carol Jones enrolled in Medicare?

Yes. Carol Jones 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 Carol Jones accept?

Health plans from Oscar Insurance Company list Carol Jones 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.

Is Carol Jones affiliated with any hospitals?

According to CMS data, Carol Jones is affiliated with Tristar Skyline Medical Center.

When was this NPI record last updated?

The NPPES record for Carol Jones was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.