Jennifer Stakias, NP - Medicare Nurse Practitioner in Kingsport, TN

Jennifer Stakias, NP is a medicare enrolled "Nurse Practitioner" in Kingsport, Tennessee. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eventus Wholehealth Pllc and her current practice location is 415 Broad St, Suite 410, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 239-9737.

Jennifer Stakias is licensed to practice in Tennessee (license number 18172) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437589710.

Contact Information

Jennifer Stakias, NP
415 Broad St, Suite 410,
Kingsport, TN 37660-4263
(423) 239-9737
(423) 398-5500

Map and Direction




Provider's Profile

Full NameJennifer Stakias
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location415 Broad St, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Stakias graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1437589710
  • Provider Enumeration Date: 11/22/2013
  • Last Update Date: 11/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6608007760
  • Enrollment ID: I20190819001547

Medical Identifiers

Medical identifiers for Jennifer Stakias such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437589710NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 18172 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Well Care Home HealthWilmington, NCHome health agency
Lower Cape Fear Hospice IncWilmington, NCHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eventus Wholehealth Pllc6002169539252

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Stakias allows following entities to bill medicare on her behalf.
Entity NameMed First Immediate Care & Family Practice Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053503763
PECOS PAC ID: 0446332720
Enrollment ID: O20080124000674
Entity NameEventus Wholehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20181030001281
Entity NameEventus Value Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013680503
PECOS PAC ID: 1254736986
Enrollment ID: O20210818003793

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Stakias is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Stakias, NP
1 Medical Park Blvd,
Bristol, TN 37620-7430

Ph: (423) 239-9737
Jennifer Stakias, NP
415 Broad St, Suite 410,
Kingsport, TN 37660-4263

Ph: (423) 239-9737

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.