Individual provider Active NPI

Jesse A. Sawyer, APRN

  • Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1063066421
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26182 Issued in TN
Practice address
7645 Wolf River Cir
Germantown, TN 38138-1751
Phone
(901) 405-0275
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26182 TN Primary

Addresses

Primary practice location

7645 Wolf River Cir
Germantown, TN 38138-1751

Mailing address

114 S Humes St
Memphis, TN 38111-1918
Phone (901) 239-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL IntergyEHR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20251008003222 AR Practitioner - Nurse Practitioner 8729489976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mitchell Family Medicine LLCGroup PAC ID 1850633074, 9 clinicians

Practice addresses (Care Compare)

924 State Hwy 77
Marion, AR 72364-9004
Phone (870) 739-8670

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Family Medicine, LLC CurrentSince Oct 1, 2025 Accepting new patients
Mittal Kidney and Dialysis PC PastSince Aug 1, 2021 Accepting new patients

Locations

924 State Highway 77
Marion, AR 72364
Phone (870) 739-5310

Interoperability endpoints

  • Direct secure messaging: jsawyer701529@direct.bmhcc.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFDAA

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1063066421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S HUMES ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381111918",
            "telephone_number": "901-239-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 WOLF RIVER CIR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381751",
            "telephone_number": "901-405-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "JESSE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "26182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "IntergyEHR",
            "affiliation": "N",
            "address_1": "7645 Wolf River Cir",
            "city": "Germantown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381381751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.