Individual provider Active NPI

Jessica Pratt, FNP

  • Primary Care Nurse Practitioner
  • Manchester, TN
National Provider Identifier
1578197836
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
27252 Issued in TN
Practice address
1400 Willow Dr
Manchester, TN 37355-2438
Phone
(931) 409-2194
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 27252 TN Primary

Addresses

Primary practice location

1400 Willow Dr
Manchester, TN 37355-2438

Mailing address

512 Marbury Rd
Tullahoma, TN 37388-2142
Phone (931) 581-0115

Other names 1

  • Jessica Farmer Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.pratt.1@5872.direct.athenahealth.com

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
I20200713002156 TN Practitioner - Nurse Practitioner 0648693432 Reassigns benefits to 3 organizations

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
Anova Medical Associates, PLCGroup PAC ID 8325372741, 130 clinicians

Practice addresses (Care Compare)

1156 Nashville Pike
Gallatin, TN 37066-3110
Phone (615) 989-1088

Hospital & facility affiliations

  • Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Integrated Providers, LLC CurrentSince Jan 22, 2021 Accepting new patients
Anova Medical Associates, PLC CurrentSince Jul 1, 2022 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Feb 25, 2021 Accepting new patients
Vanderbilt Integrated Providers, LLC CurrentSince Jan 22, 2021 Accepting new patients

Locations

1156 Nashville Pike
Gallatin, TN 37066
Phone (615) 989-1088

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1805 N Jackson St
Ste 100
Tullahoma, TN 37388
Phone (931) 455-7767

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

Interoperability endpoints

  • Direct secure messaging: jessica.pratt.1@5872.direct.athenahealth.com
  • Direct secure messaging: jpratt602296@direct.vumc.org

Organizations & group practices 4

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 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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1578197836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 MARBURY RD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882142",
            "telephone_number": "931-581-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WILLOW DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552438",
            "telephone_number": "931-409-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-11-12",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "27252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.pratt.1@5872.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1400 Willow Dr",
            "city": "Manchester",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373552438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FARMER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.