Individual provider Active NPI

Joanna Ferrell, APRN, FNP-C

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1003323148
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23839 Issued in TN
Practice address
670 Sango Rd
Clarksville, TN 37043-5489
Phone
(615) 327-9797
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 171660 TN
Family Nurse Practitioner 363LF0000X 23839 TN Primary

Addresses

Primary practice location

670 Sango Rd
Clarksville, TN 37043-5489

Mailing address

2301 21St Ave S
Nashville, TN 37212-4908
Phone (615) 327-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180906000524 TN Practitioner - Nurse Practitioner 2062760770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashville Skin and Cancer, PLCGroup PAC ID 2961446026, 18 clinicians

Practice addresses (Care Compare)

670 Sango Rd
Clarksville, TN 37043-5489
Phone (931) 552-8774

Merit-based Incentive Payment System (MIPS)

Final score
83.55 of 100Reported as group
Quality
80.6
Promoting interoperability
97
Improvement activities
40
Cost
67.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
171660TNMDGeneral Practice Registered Nurse
23839TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Skin and Cancer, PLC CurrentSince Jun 19, 2023 Accepting new patients

Locations

670 Sango Rd
Clarksville, TN 37043
Phone (615) 327-9797

2301 21st Ave S
Nashville, TN 37212
Phone (615) 305-6871

Interoperability endpoints

  • Direct secure messaging: jferrell@nashskin.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719100800000",
    "number": "1003323148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124908",
            "telephone_number": "615-327-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SANGO RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435489",
            "telephone_number": "615-327-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "JOANNA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2024-06-23",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "171660",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.