KEVEN WAYNE JEFFERS PA-C
NPI 1609357953
Physician Assistant in Jellico, TN

Q: What is Keven Jeffers's NPI number?

The NPI number for Keven Jeffers is 1609357953. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Q: What is Keven Jeffers's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Keven Jeffers was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 24, 2018PECOS EnrolledAccepts Medicare Assignment

550 SUNSET TRL, JELLICO, TN 37762(423) 784-5771(423) 455-0380 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, May 10, 2022, Dec 11, 2020 and 2 more (5 updates tracked since 2018).

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About Keven Wayne Jeffers Pa-c NPPES

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

KEVEN WAYNE JEFFERS PA-C (NPI 1609357953) is an individual physician assistant in Jellico, Tennessee, licensed in Tennessee (3646) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609357953

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKEVEN WAYNE JEFFERSCredential: PA-C

Location Address550 SUNSET TRLJellico, TN 37762-2343

Mailing Address107 S Main StJellico, TN 37762-2154 · (423) 784-5771

Phone(423) 784-5771

Fax(423) 455-0380

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 24, 2018

Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration

NPPES CertifiedMay 10, 2022

✔ NPI 1609357953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in TN · 3646✔ Licensed in KY · PA2407

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

550 SUNSET TRL, Jellico, TN 37762

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Secondary Practice Locations 2

Location 1402 Cumberland AveWilliamsburg, KY 40769-1238 · Phone (423) 784-5771

Location 25663 Highway 90Clairfield, TN 37715-3632 · Phone (423) 784-5771

Other Identifiers 4

OtherPA2407KY · State License

Other3646TN · State License

Medicaid7100571470KY

MedicaidQ045895TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Keven Wayne Jeffers Pa-c 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 ID2769722057

PECOS Enrollment IDI20210921002813

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37762 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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CATHLEEN CONNIE SUTO M.D.

Obstetrics & Gynecology