Mr Evan Smith, FNP-BC - Medicare Nurse Practitioner in Tullahoma, TN

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Mr Evan Smith, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Tullahoma, Tennessee. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Vanderbilt University Medical Center, Vanderbilt Integrated Providers Llc and his current practice location is 1805 N Jackson St, Tullahoma, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 455-7767.

Mr Evan Smith is licensed to practice in Tennessee (license number 27280) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770112096.

Contact Information

Mr Evan Smith, FNP-BC
1805 N Jackson St,
Tullahoma, TN 37388-2290
(931) 455-7767
Not Available

Map and Direction




Provider's Profile

Full NameMr Evan Smith
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location1805 N Jackson St, Tullahoma, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Evan Smith graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1770112096
  • Provider Enumeration Date: 04/07/2020
  • Last Update Date: 05/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911323282
  • Enrollment ID: I20200817003565

Medical Identifiers

Medical identifiers for Mr Evan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770112096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 27280 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adoration Home Health, LlcNashville, TNHome health agency
Willowbrook Home Health CareNashville, TNHome health agency
Amedisys Home CareWinchester, TNHome health agency
Nhc Homecare MurfreesboroMurfreesboro, TNHome health agency
Vanderbilt University Medical CenterNashville, TNHospital
Tennova Healthcare-hartonTullahoma, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vanderbilt University Medical Center50920234162742
Vanderbilt Integrated Providers Llc701281791922

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. Mr Evan Smith allows following entities to bill medicare on his behalf.
Entity NameVanderbilt Integrated Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982625091
PECOS PAC ID: 7012817919
Enrollment ID: O20040108001021
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameVanderbilt University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104202761
PECOS PAC ID: 5092023416
Enrollment ID: O20151006000369

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. Mr Evan Smith 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
Mr Evan Smith, FNP-BC
1805 N Jackson St,
Tullahoma, TN 37388-2290

Ph: (931) 455-7767		Mr Evan Smith, FNP-BC
1805 N Jackson St,
Tullahoma, TN 37388-2290

Ph: (931) 455-7767

Reviews and Comments


Nurse Practitioner Nurses in Tullahoma, TN

Mrs. Shonda Tormohlen, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 108 E Lauderdale St, Tullahoma, TN 37388
Phone: 423-309-9650    
Sharon Lynn Gilliam, MSN CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 150 Jack Farrar Ln, Tullahoma, TN 37388
Phone: 931-455-2766    Fax: 931-455-2829
Melissa Ann Perry, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 710 Kings Ln, Tullahoma, TN 37388
Phone: 931-962-4040    
Robbie M. Webb, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1801 N Jackson St, Tullahoma, TN 37388
Phone: 931-461-4921    Fax: 931-461-4677
Kacy Mikala Kirk, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1803 N Jackson St, Tullahoma, TN 37388
Phone: 931-455-3400    
Ladonna Marie Ledford, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 215 S Anderson St, Tullahoma, TN 37388
Phone: 931-563-7464    Fax: 931-563-7401
Jason A. Martin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Jackson St, Tullahoma, TN 37388
Phone: 931-563-5463    

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.