WILLETT BLAKE COFFMAN
NPI 1578262192
Nurse Practitioner in Jackson, TN

Q: 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.

Q: What is Willett Coffman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: 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 2 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.

Active since March 02, 2023PECOS EnrolledAccepts Medicare Assignment

64 PALMER DR, JACKSON, TN 38305(731) 614-0728 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2026, Jun 19, 2025, Jun 17, 2024 and 1 more (4 updates tracked since 2023).

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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 Haywood County Community Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1578262192

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameWILLETT BLAKE COFFMAN

Location Address64 PALMER DRJackson, TN 38305-8029

Mailing Address64 Palmer DrJackson, TN 38305-8029 · (731) 614-0728

Phone(731) 614-0728

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 2, 2023

Last NPPES UpdateJune 10, 20264 updates tracked since enumeration

NPPES CertifiedJune 10, 2026

✔ NPI 1578262192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 35606

Definition

(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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 0024195588 (VA), 35606 (TN)

Also ListedFamily MedicineTaxonomy 207Q00000X · License 0024195588 (VA), 35606 (TN)

Also ListedInternal MedicineTaxonomy 207R00000X · License 0024195588 (VA), 35606 (TN)

Also ListedPediatricsTaxonomy 208000000X · License 0024195588 (VA), 35606 (TN)

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 0024195588 (VA), 35606 (TN)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 35606 (TN), 0024195588 (VA)

Also ListedSurgeryTaxonomy 208600000X · License 35606 (TN), 0024195588 (VA)

64 PALMER DR, Jackson, TN 38305

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Other Names 1

Professional Name (2)Blake Coffman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

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.

PECOS PAC ID749795011

PECOS Enrollment IDI20250715003423

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 2

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

Haywood County Community Hospital

Acute Care Hospitals · Brownsville, TN

OwnershipProprietary

CMS Certification Number440238

Location2545 North Washington AvenueBrownsville, TN 38012 · Haywood County

Emergency services

Houston County Community Hospital

Critical Access Hospitals · Erin, TN

OwnershipGovernment - Local

CMS Certification Number441322

Location5001 East Main StreetErin, TN 37061 · Houston County

Emergency services

Physician 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.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

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.

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.

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 Haywood County Community Hospital and 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 2 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.