Individual provider Active NPI

Milicent Robinson, FNP-C

  • Family Nurse Practitioner
  • Bolivar, TN
National Provider Identifier
1487044244
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19627 Issued in TN
Practice address
1700 W Market St
Bolivar, TN 38008-1653
Phone
(731) 658-5772
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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 19627 TN Primary

Addresses

Primary practice location

1700 W Market St
Bolivar, TN 38008-1653

Mailing address

58 Gradview Loop Ext
Selmer, TN 38375-4608
Phone (615) 556-1153

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
I20150327002239 TN Practitioner - Nurse Practitioner 8426375544 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

890 Isabella LN
Smyrna, TN 37167-4215
Phone (615) 768-8021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Dec 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Dec 1, 2025 Accepting new patients
Frix-Jennings Clinic PC CurrentSince Feb 2, 2015 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 28, 2015 Accepting new patients
Hardeman County Community Health Center Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 28, 2015 Accepting new patients
Mistye Taylor MD PLLC Past Accepting new patients

Locations

629 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 658-3388

1700 W Market St
Bolivar, TN 38008
Phone (731) 658-2206

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

116 W Main St
Henderson, TN 38340
Phone (731) 427-5581

Organizations & group practices 7

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1487044244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 GRADVIEW LOOP EXT",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383754608",
            "telephone_number": "615-556-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W MARKET ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081653",
            "telephone_number": "731-658-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MILICENT",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, TN

Sources for this page

Verify at the official NPI Registry.