Individual provider Active NPI

Jimarie Nelson, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1295346260
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27524 Issued in TN
Practice address
5100 Poplar Ave Ste 2007
Memphis, TN 38137-2007
Phone
(901) 708-8033
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27524 TN Primary

Addresses

Primary practice location

5100 Poplar Ave Ste 2007
Memphis, TN 38137-2007

Mailing address

8898 Brunswick Farms Dr
Bartlett, TN 38002-4354
Phone (150) 423-2250

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
I20200916002401 TN Practitioner - Nurse Practitioner 5698193050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

6005 Park Ave
Suite 323B
Memphis, TN 38119-5208
Phone (901) 756-6991

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27524TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Physician Network, LLC CurrentSince Aug 9, 2021 Accepting new patients
Eric Blakney Current Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Oct 7, 2020 Accepting new patients

Locations

676 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 259-0986

6005 Park Ave
Ste 200
Memphis, TN 38119
Phone (901) 761-2100

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: jimarie.nelson.1@16700.direct.athenahealth.com
  • Direct secure messaging: jimarie.nelson@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

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.

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1295346260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8898 BRUNSWICK FARMS DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "380024354",
            "telephone_number": "150-423-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE STE 2007",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381372007",
            "telephone_number": "901-708-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JIMARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.