Mycah Jack, FNP-BC
NPI 1396481693 · Family Nurse Practitioner · Knoxville, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mycah Jack, FNP-BC is a Family Nurse Practitioner provider in Knoxville, TN (NPI 1396481693).
Provider details
- NPI number
- 1396481693
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 31108 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-05-09
- Last updated
- 2022-05-09
- Certified
- 2022-05-09
Frequently asked questions
- What is Mycah Jack's NPI number?
- Mycah Jack's National Provider Identifier (NPI) is 1396481693, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mycah Jack's specialty?
- Mycah Jack is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mycah Jack located?
- Mycah Jack's practice location on file with NPPES is 1930 Alcoa Hwy, Knoxville, TN 37920-1500.
- What is Mycah Jack's phone number?
- The practice phone number listed in the NPPES registry for Mycah Jack is (865) 263-2400.
- Does Mycah Jack accept Medicare?
- Mycah Jack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mycah Jack's NPI active?
- Yes — Mycah Jack's NPI (1396481693) is active in the NPPES registry as of the last update on 2022-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.