Jan Allison Sims, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN5639 Issued in TN

Practice address

1445 US Highway 51 Byp E
Dyersburg, TN 38024-2127

Phone

(731) 286-1900

Fax

(731) 286-1939

NPI assigned

Jun 27, 2005

Reactivated

Apr 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dyersburg Family Walk-in ClinicGroup PAC ID 5991793879, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Dyersburg Family Walk-in Clinic LLC

  • Rural Health Clinic/Center
  • Dyersburg, TN
  • NPI 1174712780
  Medicare reassignment Care Compare group NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  TN

  Medicare reassignment
• Christian Family Medicine, LLC

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1043252620
  NPD (past)
• McKenzie Medical Center

  • Sleep Disorder Diagnostic Clinic/Center
  • MC Kenzie, TN
  • NPI 1225267479
  NPD (past)
• McKenzie Medical Center

  • Urgent Care Clinic/Center
  • MC Kenzie, TN
  • NPI 1841696192

  Family

  NPD (past)
• McKenzie Medical Center, PC

  • Rural Health Clinic/Center
  • Gleason, TN
  • NPI 1225083991

  Family

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dyersburg Health

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1205832920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 US HIGHWAY 51 BYP E",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242127",
            "telephone_number": "731-286-1900",
            "fax_number": "731-286-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 US HIGHWAY 51 BYP E",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242127",
            "telephone_number": "731-286-1900",
            "fax_number": "731-286-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "JAN",
        "middle_name": "ALLISON",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-10-07",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN5639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3904398",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "3380640",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley S Seratt, OT
• Emma Sue Sherrow, RN
• Ashley Shook, LPN
• Krislyn Sills, DDS
• Dustin Sims
• Zachary Hayden Sims, RN
• Skyline of Dyersburg Healthcare and Rehabilitation Center, LLC
• Josephine A Slycord, FNP
• Smile by Design Family Dentistry
• Hunter Curtis Smith, PHARMD

• Family Nurse Practitioner in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.