TINA CONNELL NP
NPI 1891430617
Nurse Practitioner - Family in Jackson, TN

Q: What is Tina Connell's NPI number?

The NPI number for Tina Connell is 1891430617. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Q: What is Tina Connell'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 Tina Connell was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 05, 2022PECOS Enrolled

620 SKYLINE DR, JACKSON, TN 38301(731) 541-5000(731) 660-8739 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tina Connell Np NPPES

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

TINA CONNELL NP (NPI 1891430617) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (31501) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891430617

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTINA CONNELLCredential: NP

Location Address620 SKYLINE DRJackson, TN 38301-3923

Mailing Address257 Bancorp South PkwyJackson, TN 38305-7582 · (731) 512-1264 · Fax (731) 660-8739

Phone(731) 541-5000

Fax(731) 660-8739

Sole ProprietorNo

Enumeration DateMay 5, 2022

NPPES CertifiedMay 5, 2022

✔ NPI 1891430617 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 · 31501

620 SKYLINE DR, Jackson, TN 38301

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Connell Np 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 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.

ASHLEY BROOKE OLDHAM PORTER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)