Individual provider Active NPI

Rachel Holmes, FNP-C

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1114346673
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18532 Issued in TN
Practice address
72 Physicians Dr
Jackson, TN 38305-2070
Phone
(731) 668-4455
Fax
(731) 664-4508
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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 18532 TN Primary

Addresses

Primary practice location

72 Physicians Dr
Jackson, TN 38305-2070

Mailing address

72 Physicians Dr
Jackson, TN 38305-2070
Phone (731) 668-4455

Other identifiers 1

IdentifierTypeStateIssuer
18532OtherTNSTATE LICENSE NUMBER FOR NP

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
I20160525003162 TN Practitioner - Nurse Practitioner 1850681255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC CurrentSince Jun 30, 2022 Accepting new patients
Henry County Medical Center CurrentSince Apr 23, 2019 Accepting new patients
West Tennessee Medical Group Inc Current Accepting new patients
Henry County Medical Center CurrentSince Apr 23, 2019 Accepting new patients

Locations

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

72 Physicians Dr
Jackson, TN 38305
Phone (731) 660-6395

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

300 Hospital Cir
Ste 102
Paris, TN 38242
Phone (731) 644-7662

300 Hospital Cir
Ste 104
Paris, TN 38242
Phone (731) 642-1220

301 Tyson Ave
Fl 2
Paris, TN 38242

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • Direct secure messaging: rholmes@hcmcclinics.gwaydirect.com

Organizations & group practices 4

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 2

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1114346673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052070",
            "telephone_number": "731-668-4455",
            "fax_number": "731-664-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052070",
            "telephone_number": "731-668-4455",
            "fax_number": "731-664-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "RACHEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER FOR NP",
            "identifier": "18532",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.