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JACKIE A CHURCH APN
NPI 1629126321
Nurse Practitioner - Family in Lebanon, VA

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
344 OVERLOOK DR STE 200, LEBANON, VA 24266(276) 883-5900 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2023, Nov 21, 2019, Jan 30, 2017 (3 updates tracked since 2017).

About Jackie A Church Apn NPPES

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

JACKIE A CHURCH APN (NPI 1629126321) is an individual family provider in Lebanon, Virginia, licensed in Tennessee (APN12537) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains 10 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1629126321
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACKIE A CHURCHCredential: APN
Location Address344 OVERLOOK DR STE 200Lebanon, VA 24266-3436
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657
Phone(276) 883-5900
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 8, 2007
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1629126321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TN · APN12537✔ Licensed in NC · 5018685✔ Licensed in VA · 0024187900
Also ListedRegistered NurseTaxonomy 163W00000X · License 143764 (TN)
344 OVERLOOK DR STE 200, Lebanon, VA 24266
Open in Google Maps ↗

Secondary Practice Locations 10

Location 1130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 239-9737
Location 21 Medical Park Blvd Ste 102WBristol, TN 37620-7430 · Phone (423) 844-1121
Location 31500 W Elk AveElizabethton, TN 37643-2654 · Phone (423) 543-2584 · Fax (423) 722-2060
Location 41420 Tusculum BlvdGreeneville, TN 37745-4279 · Phone (423) 787-5000
Location 5108 Park AveBanner Elk, NC 28604-6604 · Phone (828) 783-9183
Location 6400 N State Of Franklin RdJohnson City, TN 37604-6035 · Phone (423) 431-6111
Location 72030 Temple Hill RdErwin, TN 37650-8721 · Phone (423) 735-4700
Location 8111 W Stone Dr Ste 110Kingsport, TN 37660-6027 · Phone (423) 224-3701
Location 92000 Brookside DrKingsport, TN 37660-4627 · Phone (423) 857-7000
Location 104600 Fort Henry DrKingsport, TN 37663-2617 · Phone (423) 224-3950

Other Identifiers 5

OtherP01171831TN · Rr Medicare
Medicaid1629126321NC
Medicaid1629126321VA
Medicaid3341016TN
Medicaid7100236150KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Jackie A Church 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 ID1153420195
PECOS Enrollment IDI20070615000550
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 24266 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$78.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SHELLEY V HICKS MSN, FNP-C
Nurse Practitioner (Family)
344 OVERLOOK DR STE 200
LEBANON, VA 24266
Russell County (276) 883-5900

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 Jackie Church's NPI number?

The NPI number for Jackie Church is 1629126321. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Jackie Church located?

Jackie Church practices at 344 Overlook Dr Ste 200, Lebanon, VA 24266. The listed phone number is (276) 883-5900.

What is Jackie Church's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jackie Church enrolled in Medicare?

Yes. Jackie Church 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 Jackie Church accept?

Health plans from Oscar Insurance Company list Jackie Church 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.

When was this NPI record last updated?

The NPPES record for Jackie Church was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.