Jodie M Baumtrog, FNP
Individual provider Active NPI Family Nurse Practitioner · Franklin, TN
NPI 1295059186 · NPPES record last updated Sep 24, 2012
Key facts
- NPI
- 1295059186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 14781 (TN)
- Practice address
- 919 Murfreesboro Rd
Franklin, TN 37064-3002 - Phone
- (615) 791-7373
- NPI assigned
- Mar 21, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Consolidated Medical Practices of Memphis,PLLC
Practice addresses (Care Compare)
6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2584
Phone (901) 261-0700
Hospital & facility affiliations
- Baptist Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101110001181 | TN | Practitioner - Nurse Practitioner | 4486849833 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14781 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Healthcare Community Care Associates | Current |
Accepting new patients | |
| Vanderbilt Health and Williamson Medical Center Clinics and Services, | Family | Current |
Accepting new patients |
| Methodist Healthcare Community Care Associates | Current |
Accepting new patients | |
| Consolidated Medical Practices of Memphis,PLLC | Current |
Accepting new patients |
Locations
526 Halle Park Dr
Collierville, TN 38017
Phone (901) 730-5345
8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035
919 Murfreesboro Rd
Franklin, TN 37064
Phone (615) 791-7373
8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001
6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBHBDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14781 | TN | Yes |
Addresses
Primary practice location
919 Murfreesboro Rd
Franklin, TN 37064-3002
Mailing address
919 Murfreesboro Rd
Franklin, TN 37064-3002
Phone (615) 791-7373
Other names
- Miss Jodie M Roop
Other providers in Franklin, TN
- Laura Sudbury Bauer
- Taylor Bauer
- Pamela Rebecca Baumann
- Lauren Elaine Baumgarten
- Holly Williams Baumgartner
- Bayada Home Health Care, Inc.
- John William Bayrd II
- Janie Bazargani
- Be Well Integrative Health Partners, PLLC
- Kristian Tiffany Beach
All providers in Franklin, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.