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LISA M JACK APRN BC
NPI 1740210152
Nurse Practitioner in Murfreesboro, TN

Active since July 03, 2006PECOS Enrolled
2076 LASCASSAS PIKE STE B, MURFREESBORO, TN 37130(615) 535-0124(615) 653-4218 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa M Jack Aprn Bc NPPES

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

LISA M JACK APRN BC (NPI 1740210152) is an individual nurse practitioner in Murfreesboro, Tennessee, licensed in Tennessee (APN0000008399) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740210152
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA M JACKCredential: APRN BC
Location Address2076 LASCASSAS PIKE STE BMurfreesboro, TN 37130-2085
Mailing Address2076 Lascassas Pike Ste BMurfreesboro, TN 37130-2085 · (615) 535-0124 · Fax (615) 653-4218
Phone(615) 535-0124
Fax(615) 653-4218
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1740210152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · APN0000008399
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.
2076 LASCASSAS PIKE STE B, Murfreesboro, TN 37130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Jack Aprn Bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37130 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%98 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

INNOVATION HEALTH, LLC
Nurse Practitioner (Family)
2076 LASCASSAS PIKE STE B
MURFREESBORO, TN 37130
Rutherford County (615) 535-0124

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 Lisa Jack's NPI number?

The NPI number for Lisa Jack is 1740210152. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Lisa Jack located?

Lisa Jack practices at 2076 Lascassas Pike Ste B, Murfreesboro, TN 37130. The listed phone number is (615) 535-0124.

What is Lisa Jack's specialty?

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

Is Lisa Jack enrolled in Medicare?

Yes. Lisa Jack is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Jack accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Lisa Jack 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 Lisa Jack was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.