TWISTED ROOTS HEALTHCARE
NPI 1942169966
Nurse Practitioner - Family in Johnson City, TN
About Twisted Roots Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TWISTED ROOTS HEALTHCARE (NPI 1942169966) is a healthcare organization registered as a family in Johnson City, Tennessee and active in the NPI registry since January 2026. The organization holds a CLIA Microscopy certificate valid through January 25, 2028 and lists Eva M Jessee, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Twisted Roots Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Twisted Roots Healthcare, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D2337544
Twisted Roots Healthcare · Johnson City, TNFrequently 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 Twisted Roots Healthcare's NPI number?
The NPI number for Twisted Roots Healthcare is 1942169966. It was assigned to this organization in the NPPES registry on January 16, 2026. The provider is also known as Twisted Roots Healthcare, PLLC.
Where is Twisted Roots Healthcare located?
Twisted Roots Healthcare is located at 2020 Northpark Dr Ste 2C, Johnson City, TN 37604. The listed phone number is (423) 367-7688.
What is Twisted Roots Healthcare's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Twisted Roots Healthcare enrolled in Medicare?
Yes. Twisted Roots Healthcare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Twisted Roots Healthcare?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Twisted Roots Healthcare. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Twisted Roots Healthcare hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2337544) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Twisted Roots Healthcare was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.
# Twisted Roots Healthcare · NPI 1942169966
Family organization in Johnson City, Tennessee. Organization record, active in the CMS NPPES registry since January 16, 2026.
## Identity
- **NPI:** 1942169966 (Entity type: Organization)
- **Enumerated:** January 16, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Twisted Roots Healthcare, PLLC (Other Name)
- **Organization subpart:** No
- **Authorized official:** Eva Jessee, OWNER
## Practice location
- **Address:** 2020 NORTHPARK DR STE 2C, Johnson City, TN 37604-3127
- **Phone:** (423) 367-7688 · **Fax:** (877) 682-3703
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942169966) · Data from the CMS NPPES public registry.