Individual provider Active NPI

Jon Tyler Pope, RN

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1558022459
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
898640 Issued in MS
Practice address
8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone
(901) 271-1000
Fax
(901) 271-4187
NPI assigned
Jan 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 898640 MS Primary

Addresses

Primary practice location

8060 Wolf River Blvd
Germantown, TN 38138-1727

Mailing address

2644 Rising Sun Rd
Hernando, MS 38632-6730

Other identifiers 1

IdentifierTypeStateIssuer
898640OtherMSRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220224002592 MS Practitioner - Nurse Practitioner 5395139919 Reassigns benefits to 2 organizations
I20220303000721 TN Practitioner - Nurse Practitioner 5395139919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stern Cardiovascular Center, PAGroup PAC ID 2860390275, 126 clinicians
Stern Cardiovascular Foundation, IncGroup PAC ID 8123200540, 111 clinicians

Practice addresses (Care Compare)

1500 W Poplar Ave
Suite 302
Collierville, TN 38017-0601
Phone (901) 271-1000

7362 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 271-1000

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
898640MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stern Cardiovascular Center, PA CurrentSince Dec 1, 2025 Accepting new patients
Stern Cardiovascular Foundation, Inc CurrentSince Feb 15, 2022 Accepting new patients

Locations

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

100 Baptist Memorial Cir
Ste 201
Oxford, MS 38655
Phone (662) 574-5293

7362 Southcrest Pkwy
Southaven, MS 38671
Phone 90127110002272

391 Southcrest Cir
Ste 200
Southaven, MS 38671
Phone (662) 349-1900

8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272

Interoperability endpoints

  • Direct secure messaging: jpope27672@mlh.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1558022459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 RISING SUN RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386326730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381727",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "JON",
        "middle_name": "TYLER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "898640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "898640",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.