Active NPI
Rosemary Jacobs, MSN FNP BC
- Family Nurse Practitioner
- Millington, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13302
- Practice address
- 8510 Wilkinsville Rd
104
Millington, TN 38053 - Phone
- (901) 872-3114
- Fax
- (901) 872-3114
- NPI assigned
- Mar 5, 2008
- Last updated
- May 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13302 | TN | Primary |
Addresses
Primary practice location
8510 Wilkinsville Rd
104
Millington, TN 38053
Mailing address
8510 Wilkinsville Rd
Suite 104
Millington, TN 38053-1537
Phone (901) 872-3114
Other practice location 1
8507 US Highway 51 N Ste 107
Millington, TN 38053-1535
Phone (901) 873-2555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700227436 | Other | TN | GROUP NPI |
| 1513105 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8510 Wilkinsville Rd
Suite 104
Millington, TN 38053-1538
Phone (901) 872-3114
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13302 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Blakney | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Saint Francis Physician Network, LLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Health First Urgent Care Clinic | Current | Accepting new patients |
Locations
8025 US Highway 64
Ste 101
Bartlett, TN 38133
Phone (901) 382-2044
6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991
6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205
8507 US Highway 51 N
Ste 107
Millington, TN 38053
Phone (901) 873-2555
8510 Wilkinsville Rd
Ste 104
Millington, TN 38053
Phone (901) 872-3114
Interoperability endpoints
- rosemary.jacobs.1@16700.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Covington, TN
- NPI 1295258002
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Family Nurse Practitioner
- Millington, TN
- NPI 1700227436
-
dba Eric Blakney DBA Premier Internal Medicine, PC
- Internal Medicine Physician
- Memphis, TN
- NPI 1063608966
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Emergency Care Clinic/Center
- Oakland, TN
- NPI 1790189355
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
dba St. Francis Hospital-Bartlett
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
-
dba Tennessee Quality Care - Home Health Central
- Home Health Agency
- Parsons, TN
- NPI 1396702536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1407026446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8510 WILKINSVILLE RD",
"address_2": "SUITE 104",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380531537",
"telephone_number": "901-872-3114",
"fax_number": "901-872-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8510 WILKINSVILLE RD",
"address_2": "104",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "38053",
"telephone_number": "901-872-3114",
"fax_number": "901-872-3114"
}
],
"practiceLocations": [
{
"address_1": "8507 US Highway 51 N Ste 107",
"address_purpose": "LOCATION",
"city": "Millington",
"state": "TN",
"postal_code": "380531535",
"country_code": "US",
"telephone_number": "901-873-2555",
"fax_number": "901-873-2561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBS",
"first_name": "ROSEMARY",
"credential": "MSN FNP BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "13302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1700227436",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513105",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.