Individual provider Active NPI

Rachel Tosh, NP

  • Family Nurse Practitioner
  • Bolivar, TN
National Provider Identifier
1124772587
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31048 Issued in TN
Practice address
1359 W Market St
Bolivar, TN 38008-1702
Phone
(731) 361-1003
Fax
(731) 361-1004
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 31048 TN Primary

Addresses

Primary practice location

1359 W Market St
Bolivar, TN 38008-1702

Mailing address

1359 W Market St
Bolivar, TN 38008-1702
Phone (731) 361-1003

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
I20220215000837 TN Practitioner - Nurse Practitioner 0547653578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Madison County General HospitalGroup PAC ID 3678481975, 55 clinicians

Practice addresses (Care Compare)

720 W Forest Ave
Jackson, TN 38301-3904
Phone (731) 541-5087

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072

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

State licenses

LicenseStateTypeSpecialty
31048TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Madison County General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 3, 2022 Accepting new patients
West Tennessee Medical Group Inc CurrentSince Aug 21, 2023 Accepting new patients
Jackson Madison County General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 3, 2022 Accepting new patients

Locations

1359 W Market St
Bolivar, TN 38008
Phone (731) 361-1003

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

24 Physicians Dr
Cookeville, TN 38505

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

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

322 Hospital Blvd
Jackson, TN 38305
Phone (731) 668-1668

569 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510

720 W Forest Ave
Jackson, TN 38301
Phone (731) 541-5087

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.

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1124772587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 W MARKET ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081702",
            "telephone_number": "731-361-1003",
            "fax_number": "731-361-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 W MARKET ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081702",
            "telephone_number": "731-361-1003",
            "fax_number": "731-361-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOSH",
        "first_name": "RACHEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, TN

Sources for this page

Verify at the official NPI Registry.