MR. JASON ENGHOLM FNP-BC
NPI 1528540812
Nurse Practitioner in Fort Campbell, KY
About Mr. Jason Engholm Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JASON ENGHOLM FNP-BC (NPI 1528540812) is an individual nurse practitioner in Fort Campbell, Kentucky, licensed in Tennessee (24887) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jason Engholm Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42223 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
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 Jason Engholm's NPI number?
The NPI number for Jason Engholm is 1528540812. It was assigned to this individual provider in the NPPES registry on September 3, 2018.
Where is Jason Engholm located?
Jason Engholm practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-8400.
What is Jason Engholm's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jason Engholm enrolled in Medicare?
Yes. Jason Engholm is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jason Engholm was last updated on April 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
