Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesse E Von Fange, PA-C

Individual provider Medical Physician Assistant · NPI 1265996672

Jesse E Von Fange, PA-C is a Physician Assistant in Knoxville, Tennessee. Qualified in 2018, 8 years ago. Practices with Summit Medical Group, PLLC, a 636-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

280 Fort Sanders West Blvd Ste 101
Knoxville, TN 37922-3352
Phone: (865) 539-0270
Fax: (865) 539-6998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3804 (TN)

Record details

NPI number1265996672
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Summit Medical Group, Pllc — 636 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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