Individual provider Active NPI

Fred J Sesti, FNP

  • Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1174618516
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000007704 Issued in TN
Practice address
31 Physicians Dr
Jackson, TN 38305-2071
Phone
(731) 664-0103
Fax
(731) 664-5666
NPI assigned
Oct 3, 2006
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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 APN0000007704 TN Primary

Addresses

Primary practice location

31 Physicians Dr
Jackson, TN 38305-2071

Mailing address

31 Physicians Dr
Jackson, TN 38305-2071
Phone (731) 664-0103

Other identifiers 2

IdentifierTypeStateIssuer
3907058MedicaidTN
500029367OtherTNRAILROAD MEDICARE

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
I20111212000316 TN Practitioner - Nurse Practitioner 5991970451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

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

Merit-based Incentive Payment System (MIPS)

Final score
77.21 of 100Reported as group
Quality
64.19
Improvement activities
40
Cost
79.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7704TNMDPharmacist
APN0000007704TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Medical Clinic, P.C. Current Accepting new patients
WT Medical Associates Nurse Practitioner CurrentSince Jun 1, 2018 Accepting new patients
WT Medical Associates CurrentSince Jun 1, 2018 Accepting new patients
Jackson Madison County General Hospital CurrentSince Aug 1, 2024 Accepting new patients
Jackson Madison County General Hospital CurrentSince Aug 1, 2024 Accepting new patients
Midwest Surgery Center, LLC Past Accepting new patients
Midwest Orthopaedic Surgery Inc Past Accepting new patients
Hub City Emergency Physicians LLC Past Accepting new patients

Locations

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

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

1270 Union University Dr
Ste A
Jackson, TN 38305
Phone (731) 664-0103

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

31 Hughes Dr
Jackson, TN 38305
Phone (731) 668-2800

31 Physicians Dr
Jackson, TN 38305
Phone (731) 285-5133

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

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

700 W Forest Ave
Ste 100
Jackson, TN 38301
Phone (731) 541-8800

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

Organizations & group practices 8

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 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1174618516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052071",
            "telephone_number": "731-664-0103",
            "fax_number": "731-664-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052071",
            "telephone_number": "731-664-0103",
            "fax_number": "731-664-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESTI",
        "first_name": "FRED",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000007704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3907058",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500029367",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.