JACLYN BANE
NPI 1871983452
Nurse Practitioner - Family in Jackson, TN

Q: What is Jaclyn Bane's NPI number?

The NPI number for Jaclyn Bane is 1871983452. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Q: What is Jaclyn Bane's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Bane was last updated on January 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 03, 2015PECOS EnrolledAccepts Medicare Assignment

29.71/100

CMS Quality Rating

655 LEXINGTON AVE, JACKSON, TN 38301(731) 540-0330 Get Directions Write a Review

NPPES record last updated: January 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2018, May 9, 2016, Mar 1, 2016 and 2 more (5 updates tracked since 2016).

On this page

About Jaclyn Bane NPPES

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

JACLYN BANE (NPI 1871983452) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (19616) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of University Of South Alabama College Of Medicine (2014).

NPPES Registry Identity

NPI1871983452

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACLYN BANE

Location Address655 LEXINGTON AVEJackson, TN 38301-5075

Mailing Address655 Lexington AveJackson, TN 38301-5075 · (731) 540-0330

Phone(731) 540-0330

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2014

Enumeration DateFebruary 3, 2015

Last NPPES UpdateJanuary 26, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2025

✔ NPI 1871983452 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 · 19616

655 LEXINGTON AVE, Jackson, TN 38301

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Jaclyn Bane 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 ID7810216777

PECOS Enrollment IDI20150428001186

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.

Hospital Affiliations CMS Care Compare

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

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.

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.

29.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

22.33

Promoting Interoperability

Improvement Activities

Cost

51.73

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers14 claims37 services$4.43 avg. paid by Medicare

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$83.83 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 14

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

DR. ROBIN DENISE ATKINSON MD

Obstetrics & Gynecology