BENJAMIN NYE DO
NPI 1669121083
Emergency Medicine in Jackson, TN

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
620 SKYLINE DR, JACKSON, TN 38301(928) 533-3068 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Benjamin Nye Do NPPES

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

BENJAMIN NYE DO (NPI 1669121083) is an individual emergency medicine provider in Jackson, Tennessee, licensed in Tennessee (6043) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1669121083
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBENJAMIN NYECredential: DO
Location Address620 SKYLINE DRJackson, TN 38301-3923
Mailing Address6675 Holmes Rd Ste 450Kansas City, MO 64131-1173 · (816) 276-7600 · Fax (816) 276-7992
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2022
Last NPPES UpdateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1669121083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 6043
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
620 SKYLINE DR, Jackson, TN 38301

Secondary Practice Location 1

Location 16675 Holmes Rd Ste 450Kansas City, MO 64131-1173 · Phone (816) 276-7600 · Fax (816) 276-7992

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

Benjamin Nye Do 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 ID8729468483
PECOS Enrollment IDI20250609000503
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Benjamin Nye reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 146 clinicians in this Medicare group
Family Medicine
294 SUMMAR DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 50 clinicians in this Medicare group
Emergency Medicine
19600 E 39TH ST S
Independence, MO 64057
  • Reassigned Medicare billing, Missouri enrollment
  • 182 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 4

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN
OwnershipGovernment - Local
CMS Certification Number440060
Location4039 Highland StMilan, TN 38358 · Gibson County
Emergency services

Volunteer Community Hospital

Acute Care Hospitals · Martin, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440061
Location161 Mount Pelia RdMartin, TN 38237 · Weakley County
Emergency services Birthing friendly

West Tennessee Healthcare Bolivar Hospital

Critical Access Hospitals · Bolivar, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number441320
Location650 Nuckolls RoadBolivar, TN 38008 · Hardeman County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
620 SKYLINE DR
JACKSON, TN 38301
Anesthesiology (Critical Care Medicine)
620 SKYLINE DR
JACKSON, TN 38301
Occupational Therapist
620 SKYLINE DR
JACKSON, TN 38301
Physician Assistant
620 SKYLINE DR
JACKSON, TN 38301
Pharmacist
620 SKYLINE DR
JACKSON, TN 38301
Emergency Medicine
620 SKYLINE DR
JACKSON, TN 38301
Nurse Practitioner (Family)
620 SKYLINE DR
JACKSON, TN 38301
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN 38301

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 Benjamin Nye's NPI number?

The NPI number for Benjamin Nye is 1669121083. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Benjamin Nye located?

Benjamin Nye practices at 620 Skyline Dr, Jackson, TN 38301. The listed phone number is (928) 533-3068.

What is Benjamin Nye's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Benjamin Nye enrolled in Medicare?

Yes. Benjamin Nye 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 Benjamin Nye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Nye reassigns Medicare benefits to 3 organizations: Emergency Medical Care Facilities PC (Jackson, TN), Wt University Medical Associates Inc (Jackson, TN) and Emergency Medicine Services Of Mo, LLC (Independence, MO). 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 Benjamin Nye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Nye accept?

Health plans from Oscar Insurance Company list Benjamin Nye 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 Benjamin Nye affiliated with any hospitals?

According to CMS data, Benjamin Nye is affiliated with Jackson-Madison County General Hospital, West Tennessee Healthcare Milan Hospital, Volunteer Community Hospital and West Tennessee Healthcare Bolivar Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Nye was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.