Individual provider Active NPI

Michelle Denise Jones, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1497388912
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27169 Issued in TN
Practice address
493 Doctor M.L.K. Jr Ave
Memphis, TN 38126-3812
Phone
(901) 643-7503
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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 27169 TN Primary

Addresses

Primary practice location

493 Doctor M.L.K. Jr Ave
Memphis, TN 38126-3812

Mailing address

219 Decatur St
Memphis, TN 38105-4108
Phone (901) 643-7503

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Memphis

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
I20201102000882 TN Practitioner - Nurse Practitioner 4880004936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foner Med, PLLCGroup PAC ID 2860785052, 9 clinicians

Practice addresses (Care Compare)

493 Dr ML King Jr Ave
Memphis, TN 38126-2548
Phone (901) 526-0802

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27169TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foner Med, PLLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

493 Dr Ml King Jr Ave
Memphis, TN 38126
Phone (901) 526-0802

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15660/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1497388912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 DECATUR ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054108",
            "telephone_number": "901-643-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 DOCTOR M.L.K. JR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381263812",
            "telephone_number": "901-643-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Memphis",
            "affiliation": "N",
            "address_1": "493 Doctor M.L.K. Jr Ave",
            "city": "memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381263812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.