Individual provider Active NPI

Jessica Keyes, FNP-BC

  • Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1295442929
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
32973 Issued in TN
Practice address
5651 Frist Blvd Ste 603
Hermitage, TN 37076-2079
Phone
(615) 889-1968
Fax
(615) 889-8527
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 95023132 CA
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 32973 TN Primary

Addresses

Primary practice location

5651 Frist Blvd Ste 603
Hermitage, TN 37076-2079

Mailing address

5651 Frist Blvd Ste 603
Hermitage, TN 37076-2079
Phone (615) 889-1968

Other practice location 1

9300 Valley Childrens Pl
Madera, CA 93636-8761
Phone (559) 353-7290

Other practice location 2

11003 E Egret Pt
Clovis, CA 93619-4686
Phone (559) 908-9469

Other names 1

  • Jessica Stoeckle Former name

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
I20230413001966 TN Practitioner - Nurse Practitioner 9436524956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

5651 Frist Blvd
Suite 603
Hermitage, TN 37076-2079
Phone (615) 889-1968

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
56.54
Promoting interoperability
99
Improvement activities
40
Cost
79.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32973TNMDPharmacist
95023132CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Single Specialty CurrentSince Feb 13, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5651 Frist Blvd
Ste 603
Hermitage, TN 37076
Phone (615) 889-1968

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

Organizations & group practices 1

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1295442929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 603",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762079",
            "telephone_number": "615-889-1968",
            "fax_number": "615-889-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 603",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762079",
            "telephone_number": "615-889-1968",
            "fax_number": "615-889-8527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 Valley Childrens Pl",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936368761",
            "country_code": "US",
            "telephone_number": "559-353-7290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11003 E Egret Pt",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936194686",
            "country_code": "US",
            "telephone_number": "559-908-9469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYES",
        "first_name": "JESSICA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95023132",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "32973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "STOECKLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.