Individual provider Active NPI

Lisa K Medlin, APN

  • Family Nurse Practitioner
  • Milan, TN
National Provider Identifier
1073587283
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6259 Issued in TN
Practice address
15001 S 1St St
Milan, TN 38358-5132
Phone
(731) 613-2535
Fax
(731) 613-2534
NPI assigned
Feb 14, 2006
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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 6259 TN Primary

Addresses

Primary practice location

15001 S 1St St
Milan, TN 38358-5132

Mailing address

15001 S 1St St
Milan, TN 38358-5132
Phone (731) 613-2535

Other practice location 1

176C W University Pkwy # C
Jackson, TN 38305-1616
Phone (731) 660-6915

Other practice location 2

400 US Highway 45 W
Humboldt, TN 38343-8503
Phone (731) 784-7773

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
I20060310000327 TN Practitioner - Nurse Practitioner 8224045596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amen Clinic PCGroup PAC ID 3971765421, 3 clinicians
Family Care Walk in Clinic, Inc.Group PAC ID 6608850722, 7 clinicians

Practice addresses (Care Compare)

150 Murray Guard Dr
Jackson, TN 38305-3609
Phone (731) 300-3168

15001 S 1St St
Milan, TN 38358-5132
Phone (731) 613-2535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6259TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amen Clinic PC CurrentSince Nov 1, 2023 Accepting new patients
Family Care Walk in Clinic, Inc. Family CurrentSince Jul 1, 2025 Accepting new patients

Locations

150 Murray Guard Dr
Jackson, TN 38305
Phone (731) 201-2798

176 W University Pkwy
Ste C
Jackson, TN 38305
Phone (731) 660-6915

15001 S 1st St
Milan, TN 38358
Phone (731) 613-2535

400 US Highway 45 W
Three Way, TN 38343
Phone (731) 784-7771

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1073587283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 S 1ST ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383585132",
            "telephone_number": "731-613-2535",
            "fax_number": "731-613-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 S 1ST ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383585132",
            "telephone_number": "731-613-2535",
            "fax_number": "731-613-2534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176C W University Pkwy # C",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383051616",
            "country_code": "US",
            "telephone_number": "731-660-6915",
            "fax_number": "731-668-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 US Highway 45 W",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383438503",
            "country_code": "US",
            "telephone_number": "731-784-7773",
            "fax_number": "731-784-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

Sources for this page

Verify at the official NPI Registry.