Natalie N Nichols-Buerkle, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

905329 Issued in MS

Practice address

2693 Union Avenue Ext Ste 100
Memphis, TN 38112-4403

Phone

(901) 726-0843

Fax

(901) 278-2695

NPI assigned

Jul 3, 2022

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 names 1

• Natalie N Nichols Former name

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

University of Tennessee, HSC, College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kejac Ventures LLCGroup PAC ID 9335490325, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nbuerkle31266@mlh.direct-ci.com

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.

• Kejac Ventures LLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1265919005
  Medicare reassignment Care Compare group NPD
• Office of Internal Medicine, PC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1679776678
  Medicare reassignment NPD

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

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1295468783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 NEVILLE RD",
            "city": "ROSSVILLE",
            "state": "TN",
            "postal_code": "380665364",
            "telephone_number": "901-210-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2693 UNION AVENUE EXT STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124403",
            "telephone_number": "901-726-0843",
            "fax_number": "901-278-2695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Neville Rd",
            "address_purpose": "LOCATION",
            "city": "Rossville",
            "state": "TN",
            "postal_code": "380665364",
            "country_code": "US",
            "telephone_number": "901-210-7808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS-BUERKLE",
        "first_name": "NATALIE",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-03",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "905329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "NICHOLS",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Uyen Nguyen, RD
• Darren Tang Nhan, DDS
• Samantha Ann Ni, MD
• Atossa Niakan
• Anthony Nicholas
• Delania Diane Nichols, RN
• Emma Nichols
• Joanna Marie Nichols, LICENSED NURSE
• Kim E Nichols, M.D.
• Rachael Nichols, COTA/L

• Primary Care Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.