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JESSICA B WALLS FNP
NPI 1679871842
Nurse Practitioner - Family in Johnson City, TN

Active since March 11, 2011PECOS Enrolled
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604(423) 794-5520(423) 282-0720 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 1, 2023, Jul 11, 2018, Mar 2, 2018 and 1 more (4 updates tracked since 2017).

About Jessica B Walls Fnp NPPES

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

JESSICA B WALLS FNP (NPI 1679871842) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (15671) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679871842
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA B WALLSCredential: FNP
Location Address301 MED TECH PKWY STE 240Johnson City, TN 37604
Mailing Address100 May Apple LnJohnson City, TN 37615-4386 · (423) 557-4937
Phone(423) 794-5520
Fax(423) 282-0720
Sole ProprietorNo
Enumeration DateMarch 11, 2011
Last NPPES UpdateJune 1, 20234 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1679871842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 15671
301 MED TECH PKWY STE 240, Johnson City, TN 37604
Open in Google Maps ↗

Other Identifiers 1

Medicaid1523569TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica B Walls Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jessica Walls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Franklin Healthcare Associates PLLC
3.3 mi
Internal Medicine
121 BOONE RIDGE DR STE 1002
Johnson City, TN 37615
  • Reassigned Medicare billing, Tennessee enrollment
  • 357 clinicians in this Medicare group
NPI 1063459410 (423) 794-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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.

ELIZABETH A PETTEY NP
Nurse Practitioner
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
DR. JEREMY NATHAN ELLIOTT DO
Family Medicine
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
ANNA LYNN DUNN DO
Family Medicine
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
LANA NGO PHARMD
Pharmacist
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
DR. MARY J GIBSON MD
Internal Medicine
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 341-6436
MRS. MADONNA L LAFFEY APRN
Nurse Practitioner (Family)
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
SARAH ASHLEY MILLER PA-C
Physician Assistant
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
JUDITH L DAY FNP
Nurse Practitioner
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520

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 Jessica Walls's NPI number?

The NPI number for Jessica Walls is 1679871842. It was assigned to this individual provider in the NPPES registry on March 11, 2011.

Where is Jessica Walls located?

Jessica Walls practices at 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604. The listed phone number is (423) 794-5520.

What is Jessica Walls's specialty?

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

Is Jessica Walls enrolled in Medicare?

Yes. Jessica Walls is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Walls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Walls reassigns Medicare benefits to State Of Franklin Healthcare Associates PLLC (Johnson City, TN). The 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 Jessica Walls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Walls was last updated on June 1, 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.