Individual provider Active NPI

Jeffrey B Stricklin, NP

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1164758124
Registry record updated Jul 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14421 Issued in TN
Practice address
3960 Knight Arnold Rd
Suite 108
Memphis, TN 38118-3035
Phone
(901) 369-6000
Fax
(901) 369-6001
NPI assigned
Oct 27, 2009
Last updated
Jul 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2011

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 14421 TN Primary

Addresses

Primary practice location

3960 Knight Arnold Rd
Suite 108
Memphis, TN 38118-3035

Mailing address

3960 Knight Arnold Rd
Suite 108
Memphis, TN 38118-3035
Phone (901) 369-6000

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
I20091215000381 TN Practitioner - Nurse Practitioner 9537209994 Reassigns benefits to 1 organization
Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

6555 Quince Rd
Memphis, TN 38119-8202
Phone (901) 515-3150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14421TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc Nurse Practitioner CurrentSince Jan 7, 2019 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Jan 7, 2019 Accepting new patients
The Bellevue Clinic, PC PastSince Sep 1, 2012 Accepting new patients
Modern Health, LLC Past Accepting new patients
Prism Medical Group, PLC Past Accepting new patients

Locations

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

6555 Quince Rd
Memphis, TN 38119
Phone (901) 515-3150

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

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": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310169600000",
    "number": "1164758124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 KNIGHT ARNOLD RD",
            "address_2": "SUITE 108",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183035",
            "telephone_number": "901-369-6000",
            "fax_number": "901-369-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 KNIGHT ARNOLD RD",
            "address_2": "SUITE 108",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183035",
            "telephone_number": "901-369-6000",
            "fax_number": "901-369-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLIN",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-27",
        "last_updated": "2011-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "14421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.