JACQUELINE HEATHER EDLEBLUTE CRNP
NPI 1982223582
Nurse Practitioner - Family in Dayton, TN

Q: What is Jacqueline Edleblute's NPI number?

The NPI number for Jacqueline Edleblute is 1982223582. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Jacqueline Edleblute's specialty?

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

Active since April 14, 2020PECOS Enrolled

9400 RHEA COUNTY HWY, DAYTON, TN 37321(423) 775-1121 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Jul 18, 2023, Apr 14, 2020 (3 updates tracked since 2020).

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About Jacqueline Heather Edleblute Crnp NPPES

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

JACQUELINE HEATHER EDLEBLUTE CRNP (NPI 1982223582) is an individual family provider in Dayton, Tennessee, licensed in Tennessee (31469) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1982223582

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE HEATHER EDLEBLUTECredential: CRNP

Location Address9400 RHEA COUNTY HWYDayton, TN 37321-7922

Mailing Address3242 Rolling Meadow WayCleveland, TN 37323-5112 · (717) 825-6705

Phone(423) 775-1121

Sole ProprietorNo

Enumeration DateApril 14, 2020

Last NPPES UpdateDecember 30, 20243 updates tracked since enumeration

NPPES CertifiedDecember 30, 2024

✔ NPI 1982223582 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 · 31469

9400 RHEA COUNTY HWY, Dayton, TN 37321

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Secondary Practice Location 1

Location 1645 Paul Huff Pkwy NW Ste 105Cleveland, TN 37312-3150 · Phone (423) 790-7750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State 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 (PECOS)

Jacqueline Heather Edleblute Crnp 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.

Areas of Expertise CMS Part B claims 10

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

104 services50 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.

80 services74 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

76 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

73 services68 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

54 services52 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

33 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37321 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 12

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

ALGIANON MOSES JEFFERO MD

Emergency Medicine