Individual provider Active NPI

Jennifer Lynn Klecan, NP

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1043471923
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
13504 Issued in TN
Practice address
2400 Patterson St Ste 319
Nashville, TN 37203-1566
Phone
(615) 986-1256
Fax
(615) 320-3186
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 13504 TN Primary

Addresses

Primary practice location

2400 Patterson St Ste 319
Nashville, TN 37203-1566

Mailing address

PO Box 210127
Nashville, TN 37221-0127
Phone (615) 986-1256

Other practice location 1

3443 Dickerson Pike Ste 720
Nashville, TN 37207-2527
Phone (615) 986-1256

Other practice location 2

2011 Murphy Ave Ste 400
Nashville, TN 37203-2065
Phone (615) 341-7500

Other identifiers 1

IdentifierTypeStateIssuer
1506870MedicaidTN

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
I20180509002268 TN Practitioner - Nurse Practitioner 9234204249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Extended Care Services PCGroup PAC ID 9133029127, 29 clinicians

Practice addresses (Care Compare)

121 Physicians Dr
Jackson, TN 38305-6011
Phone (731) 664-5050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Extended Care Services PC CurrentSince Nov 1, 2024 Accepting new patients
Patient Care LLC Past Accepting new patients
Physician Services of Middle Tennessee, LLC Past Accepting new patients
St Thomas NP LLC Past Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

121 Physicians Dr
Jackson, TN 38305
Phone (731) 300-0770

616 W Forest Ave
Jackson, TN 38301
Phone (731) 422-0330

727 E Church St
Lexington, TN 38351
Phone (731) 432-9461

Interoperability endpoints

  • Direct secure messaging: jennifer.klecan.1@7654.direct.athenahealth.com

Organizations & group practices 5

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1043471923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210127",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372210127",
            "telephone_number": "615-986-1256",
            "fax_number": "615-383-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 319",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031566",
            "telephone_number": "615-986-1256",
            "fax_number": "615-320-3186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3443 Dickerson Pike Ste 720",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372072527",
            "country_code": "US",
            "telephone_number": "615-986-1256",
            "fax_number": "615-320-3186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 Murphy Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032065",
            "country_code": "US",
            "telephone_number": "615-341-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLECAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "13504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506870",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.