Individual provider Active NPI

Tera Jeanette Simpson, FNP

  • Family Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1316432602
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24482 Issued in TN
Practice address
200 Stonecrest Blvd
Smyrna, TN 37167
Phone
(615) 768-2000
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24482 TN Primary
Emergency Registered Nurse 163WE0003X 139722 TN

Addresses

Primary practice location

200 Stonecrest Blvd
Smyrna, TN 37167

Mailing address

1013 Belmont Dr
Dickson, TN 37055-6102
Phone (615) 557-8846

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
I20181001003204 TN Practitioner - Nurse Practitioner 0446501498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Small Town MedicalGroup PAC ID 4688175664, 3 clinicians

Practice addresses (Care Compare)

209 W Main St
Waverly, TN 37185-1510
Phone (931) 299-2945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139722TNMDEmergency Registered Nurse
24482TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 9, 2019 Accepting new patients
Emergency Medicine Services of TN, PC Family CurrentSince Apr 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 9, 2019 Accepting new patients
Small Town Medical CurrentSince Sep 1, 2025 Accepting new patients

Locations

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

209 W Main St
Waverly, TN 37185
Phone (931) 296-9830

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1316432602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 BELMONT DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370556102",
            "telephone_number": "615-557-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STONECREST BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "37167",
            "telephone_number": "615-768-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "TERA",
        "middle_name": "JEANETTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24482",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TN",
            "license": "139722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.