Individual provider Active NPI

Jace Lyam Stephens, APRN

  • Primary Care Nurse Practitioner
  • Madison, TN
National Provider Identifier
1144502337
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
16073 Issued in TN
Practice address
1309 Briarville Rd Ste 103
Madison, TN 37115-5157
Phone
(615) 757-9577
Fax
(615) 757-9578
NPI assigned
Sep 13, 2011
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 16073 TN Primary

Addresses

Primary practice location

1309 Briarville Rd Ste 103
Madison, TN 37115-5157

Mailing address

1309 Briarville Rd Ste 103
Madison, TN 37115-5157
Phone (615) 757-9577

Other identifiers 1

IdentifierTypeStateIssuer
1526032MedicaidTN

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
I20111102000123 TN Practitioner - Nurse Practitioner 6406029784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

615 Main St
Suite 127
Nashville, TN 37206-3603
Phone 61575795771001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16073TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inclusive Health, LLC CurrentSince Apr 12, 2023 Accepting new patients
Infinity Resources Inc Gerontology Past Accepting new patients

Locations

1309 Briarville Rd
Ste 103
Madison, TN 37115
Phone (615) 757-9577

211 Donelson Pike
Ste 113
Nashville, TN 37214

615 Main St
Ste 127
Nashville, TN 37206
Phone (615) 757-9577

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17956/brand/1/csg/1/fhir/r4

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1144502337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 BRIARVILLE RD STE 103",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155157",
            "telephone_number": "615-757-9577",
            "fax_number": "615-757-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BRIARVILLE RD STE 103",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155157",
            "telephone_number": "615-757-9577",
            "fax_number": "615-757-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JACE",
        "middle_name": "LYAM",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "16073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526032",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.