JESSICA N BEMBRY (FNP) – Family Nurse Practitioner, NPI 1043769490

JESSICA N BEMBRY (FNP) is a healthcare provider. based in Johnson city, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024174175 (VA). The NPI Number for JESSICA N BEMBRY (FNP) is 1043769490

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA N BEMBRY (FNP)
NPI
1043769490
Phone
(423) 302-6565
Address
1021 W OAKLAND AVE STE 310
Enumeration Date
27 September 2016
Last Update Date
31 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2764694200
Graduation Year
2016 (10 years ago)
PAC ID
9234418831
Group Practice PAC ID
7719079532
Professional Enrollment ID
I20161208001581
Address ID
VA242017403BR743XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for JESSICA N BEMBRY (FNP)

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 302-6565

    Type: Mailing

  • 743 ISLAND RD

    BRISTOL, VA 242017403

    Phone: (276) 469-4200

    Type: Location

  • 4485 W Stone Dr

    Suite 200

    Kingsport, TN 376601050

    Phone: (423) 224-3150

    Fax: (423) 224-3169

    Type: Location

  • 2202 N John B Dennis Hwy Ste 204

    Kingsport, TN 376605904

    Phone: (423) 245-1040

    Type: Location

  • 671 Highway 58 E

    Norton, VA 242733007

    Phone: (276) 679-5874

    Type: Location

  • 378 Marketplace Blvd Ste 5

    Johnson City, TN 376042361

    Phone: (423) 282-0751

    Type: Location

  • 2202 N John B Dennis Hwy Ste 100

    Kingsport, TN 376605904

    Phone: (423) 578-8500

    Type: Location

  • West Stone Drive, Howard Hill, Kingsport, Sullivan County, Tennessee, 37660-3000, United States

    SUITE 6A

    KINGSPORT, TN 376603365

    Phone: (423) 408-7220

    Fax: (423) 408-7405

    Type: Mailing

  • West Stone Drive, Nelsontown, Kingsport, Sullivan County, Tennessee, 37660-3610, United States

    SUITE 200

    KINGSPORT, TN 376601050

    Phone: (423) 224-3150

    Fax: (423) 224-3169

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,474.

Total Amount is formed as General ($1,474) + Research ($0) + Ownership ($0) = $1,474.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($441).

Total Amount

$1,474

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,474

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161123001027INurse PractitionerTNTBD
I20161208001581INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719079532View full group profile
NameSpecialtyState
General SurgeryTN
-VA
Family PracticeTN
Nurse PractitionerTN
-TN
Certified Nurse Midwife (Cnm)NC
H E M A T O L O G Y/ O N C O L O G YTN
Hematology/Oncology, HospitalistFL
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

How do payers reference JESSICA N BEMBRY (FNP)?
For JESSICA N BEMBRY (FNP), use NPI 1043769490 as the unique 10-digit identifier.
Is there an active status for JESSICA N BEMBRY (FNP)?
For scheduling context, JESSICA N BEMBRY (FNP) is shown as active in the registry.
What area of care is associated with JESSICA N BEMBRY (FNP)?
JESSICA N BEMBRY (FNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Tennessee is JESSICA N BEMBRY (FNP) registered?
Use Johnson City, Tennessee as the headline location for JESSICA N BEMBRY (FNP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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