Individual provider Active NPI

Jessica Millraney

  • Family Nurse Practitioner
  • Camden, TN
National Provider Identifier
1508309766
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000021860 Issued in TN
Practice address
190 W Main St
Camden, TN 38320-1609
Phone
(731) 213-2662
Fax
(731) 213-2539
NPI assigned
Nov 21, 2016
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 APN0000021860 TN Primary

Addresses

Primary practice location

190 W Main St
Camden, TN 38320-1609

Mailing address

190 W Main St
Camden, TN 38320-1609
Phone (731) 213-2662

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
I20170310000722 TN Practitioner - Nurse Practitioner 3375827397 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Family Practice, PCGroup PAC ID 6305839093, 15 clinicians
DC Medical Services IncGroup PAC ID 4688981665, 4 clinicians

Practice addresses (Care Compare)

1511 Donelson Pkwy
Dover, TN 37058-3749
Phone (931) 232-5555

190 W Main St
Camden, TN 38320-1609
Phone (731) 213-2662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21860TNMDPharmacist
APN0000021860TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Dec 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 13, 2017 Accepting new patients
Covenant Family Practice, PC CurrentSince Mar 5, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 13, 2017 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jul 1, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jul 1, 2024 Accepting new patients
DC Medical Services Inc CurrentSince Apr 15, 2026 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Dec 1, 2023 Accepting new patients
Integrative Health & Wellness of Henry County, PLLC Family PastSince May 19, 2024 Accepting new patients

Locations

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

190 W Main St
Camden, TN 38320
Phone (731) 213-2662

1690 Fort Campbell Blvd
Clarksville, TN 37042
Phone (931) 648-4838

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

1905 Gallatin Pike N
Madison, TN 37115
Phone (615) 338-7041

108 Courtright Rd
Martin, TN 38237
Phone (731) 281-4183

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: jessica.millraney.1@18155.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1508309766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W MAIN ST",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201609",
            "telephone_number": "731-213-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W MAIN ST",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201609",
            "telephone_number": "731-213-2662",
            "fax_number": "731-213-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLRANEY",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000021860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, TN

Sources for this page

Verify at the official NPI Registry.