AMANDA G JACK
NPI 1982432316
Physician Assistant in Mt Juliet, TN

Active since July 25, 2024PECOS EnrolledAccepts Medicare Assignment
77 BELINDA PKWY, MT JULIET, TN 37122(615) 391-4394 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2024, Sep 26, 2024, Jul 25, 2024 (3 updates tracked since 2024).

About Amanda G Jack NPPES

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

AMANDA G JACK (NPI 1982432316) is an individual physician assistant in Mt Juliet, Tennessee, licensed in Tennessee (6201) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Tristar Summit Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1982432316
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA G JACK
Location Address77 BELINDA PKWYMt Juliet, TN 37122-4390
Mailing Address77 Belinda PkwyMount Juliet, TN 37122-4390 · (615) 573-7546
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 25, 2024
Last NPPES UpdateApril 30, 20253 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
NPI 1982432316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 6201
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.

77 BELINDA PKWY, Mt Juliet, TN 37122

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

Amanda G Jack 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 ID9739614116
PECOS Enrollment IDI20241121002796
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.

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37122 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.

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 Amanda Jack's NPI number?

The NPI number for Amanda Jack is 1982432316. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Amanda Jack located?

Amanda Jack practices at 77 Belinda Pkwy, Mt Juliet, TN 37122. The listed phone number is (615) 391-4394.

What is Amanda Jack's specialty?

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

Is Amanda Jack enrolled in Medicare?

Yes. Amanda Jack 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 Amanda Jack 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 3 other insurers list Amanda Jack 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 Amanda Jack affiliated with any hospitals?

According to CMS data, Amanda Jack is affiliated with Tristar Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Jack was last updated on April 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.