MS. JANA BRIELLE LACK PA-C
NPI 1790425080
Physician Assistant in Crossville, TN

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
118 BROWN AVE STE 103, CROSSVILLE, TN 38555(931) 484-8861(865) 374-2116 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2022, Oct 11, 2022, May 26, 2022 (3 updates tracked since 2022).

About Ms. Jana Brielle Lack Pa-c NPPES

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

MS. JANA BRIELLE LACK PA-C (NPI 1790425080) is an individual physician assistant in Crossville, Tennessee and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790425080
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. JANA BRIELLE LACKCredential: PA-C
Location Address118 BROWN AVE STE 103Crossville, TN 38555-7740
Mailing Address84 Edwards RdCrossville, TN 38571-0599 · (931) 787-8307
Fax(865) 374-2116
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateOctober 19, 20223 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
NPI 1790425080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
118 BROWN AVE STE 103, Crossville, TN 38555

Other Identifiers 1

MedicaidQ078071TN

Accepted 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

Ms. Jana Brielle Lack 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 ID4385020759
PECOS Enrollment IDI20221008000091
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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,497 services133 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
209 services155 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
186 services118 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
85 services72 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
78 services78 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
68 services59 patients

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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 3

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

Orthopaedic Surgery
118 BROWN AVE STE 103
CROSSVILLE, TN 38555
Physician Assistant
118 BROWN AVE STE 103
CROSSVILLE, TN 38555
Orthopaedic Surgery
118 BROWN AVE STE 103
CROSSVILLE, TN 38555

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 Jana Lack's NPI number?

The NPI number for Jana Lack is 1790425080. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Jana Lack located?

Jana Lack practices at 118 Brown Ave Ste 103, Crossville, TN 38555. The listed phone number is (931) 484-8861.

What is Jana Lack's specialty?

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

Is Jana Lack enrolled in Medicare?

Yes. Jana Lack 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 Jana Lack accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Jana Lack 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 Jana Lack affiliated with any hospitals?

According to CMS data, Jana Lack is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Jana Lack was last updated on October 19, 2022. 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.