Individual provider Active NPI

Jennifer Ficke

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1043064256
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35959 Issued in TN
Practice address
1040 N James M Campbell Blvd Ste 101
Columbia, TN 38401-2758
Phone
(931) 840-9991
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 35959 TN Primary

Addresses

Primary practice location

1040 N James M Campbell Blvd Ste 101
Columbia, TN 38401-2758

Mailing address

1040 N James Campbell Blvd
Ste 101
Columbia, TN 38401

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
I20241022003988 TN Practitioner - Nurse Practitioner 9335671825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Solutions Dermatology and Skin Cancer Surgery, P.C.Group PAC ID 8820064140, 27 clinicians

Practice addresses (Care Compare)

200 Cool Springs Blvd
Franklin, TN 37067-2677
Phone (615) 771-7546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Solutions Dermatology & Skin Cancer Surgery, P.C. CurrentSince May 13, 2024 Accepting new patients
Stratum Health Collective PLLC PastSince May 13, 2024 Accepting new patients

Locations

1040 N James M Campbell Blvd
Ste 101
Columbia, TN 38401
Phone (931) 388-8802

200 Cool Springs Blvd
Franklin, TN 37067
Phone (615) 224-2670

800 Saundersville Dr
Hendersonville, TN 37075
Phone (615) 447-3026

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DADDAA/Endpoint/DADDAA

Organizations & group practices 2

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1043064256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N JAMES CAMPBELL BLVD",
            "address_2": "STE 101",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N JAMES M CAMPBELL BLVD STE 101",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012758",
            "telephone_number": "931-840-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.