WILLETT BLAKE COFFMAN
NPI 1578262192
Nurse Practitioner in Jackson, TN
About Willett Blake Coffman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLETT BLAKE COFFMAN (NPI 1578262192) is an individual nurse practitioner in Jackson, Tennessee, licensed in Tennessee (35606) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Houston County Community Hospital, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 8
Other Names 1
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Willett Blake Coffman 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.
Medicare Billing Reassignments
6Medicare enrollment records show Willett Coffman reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lexington, TN 38351
- Reassigned Medicare billing, Tennessee enrollment
- 49 clinicians in this Medicare group
Lexington, TN 38351
- Reassigned Medicare billing, Tennessee and Virginia enrollments
- 48 clinicians in this Medicare group
Lexington, TN 38351
- Reassigned Medicare billing, Tennessee and Virginia enrollments
- 47 clinicians in this Medicare group
Linden, TN 37096
- Reassigned Medicare billing, Tennessee enrollment
- 27 clinicians in this Medicare group
Erin, TN 37061
- Reassigned Medicare billing, Tennessee enrollment
- 33 clinicians in this Medicare group
Stuart, VA 24171
- Reassigned Medicare billing, Virginia enrollment
- 14 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Houston County Community Hospital
Critical Access Hospitals · Erin, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Willett Coffman's NPI number?
The NPI number for Willett Coffman is 1578262192. It was assigned to this individual provider in the NPPES registry on March 2, 2023. The provider is also known as Blake Coffman.
Where is Willett Coffman located?
Willett Coffman practices at 64 Palmer Dr, Jackson, TN 38305. The listed phone number is (731) 614-0728.
What is Willett Coffman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Willett Coffman enrolled in Medicare?
Yes. Willett Coffman 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.
Which organizations bill Medicare for Willett Coffman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Willett Coffman reassigns Medicare benefits to 6 organizations: Lexington Hospital Corporation (Lexington, TN), Lexington Clinic Corp (Lexington, TN), Lexington Family Physicians LLC (Lexington, TN), Perry County Community Hospital Inc (Linden, TN), Shamrock Community Hospital Inc (Erin, TN) and 1 more organization, listed in the Medicare section above. Each 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 Willett Coffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Willett Coffman accept?
Health plans from BlueCross BlueShield of Tennessee list Willett Coffman 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 Willett Coffman affiliated with any hospitals?
According to CMS data, Willett Coffman is affiliated with Houston County Community Hospital.
When was this NPI record last updated?
The NPPES record for Willett Coffman was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Willett Blake Coffman · NPI 1578262192
Nurse Practitioner physician in Jackson, Tennessee. Individual provider, active in the CMS NPPES registry since March 2, 2023.
## Identity
- **NPI:** 1578262192 (Entity type: Individual)
- **Enumerated:** March 2, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 35606 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 64 PALMER DR, Jackson, TN 38305-8029
- **Phone:** (731) 614-0728
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Lexington Hospital Corporation (NPI 1083809669, Lexington, TN); Lexington Clinic Corp (NPI 1780652107, Lexington, TN); Lexington Family Physicians LLC (NPI 1265660708, Lexington, TN); Perry County Community Hospital Inc (NPI 1528890480, Linden, TN); Shamrock Community Hospital Inc (NPI 1811566540, Erin, TN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1578262192) · Data from the CMS NPPES public registry.