Individual provider Active NPI

Jessica Joy Lawrence, APN, FNP

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1609100536
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000014274 Issued in TN
Practice address
1265 Union Ave
Memphis, TN 38104-3415
Phone
(901) 516-7600
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000014274 TN Primary
Nurse Practitioner 363L00000X A03268ANP AR
Family Nurse Practitioner 363LF0000X A810398 MS

Addresses

Primary practice location

1265 Union Ave
Memphis, TN 38104-3415

Mailing address

155 Shiloh Dr
Marion, AR 72364-2123
Phone (870) 739-3731

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
I20110824000584 MS Practitioner - Nurse Practitioner 6406971076 Reassigns benefits to 2 organizations
I20180803002394 TN Practitioner - Nurse Practitioner 6406971076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Group PCGroup PAC ID 9739153354, shared by 4 NPIs, 17 clinicians

Practice addresses (Care Compare)

401 Southcrest Cir
Suite 103
Southaven, MS 38671-6712
Phone (662) 349-4329

7550 Wolf River Blvd
Germantown, TN 38138-1778
Phone (901) 767-8158

Hospital & facility affiliations

  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183

Merit-based Incentive Payment System (MIPS)

Final score
96.43 of 100Reported as group
Quality
92.86
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03268ANPARMDNurse Practitioner
APN0000014274TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group, PC CurrentSince May 22, 2017 Accepting new patients
Redmed, LLC CurrentSince Nov 28, 2015 Accepting new patients
Urology Group PC CurrentSince May 22, 2017 Accepting new patients
Urology Group PC CurrentSince Dec 31, 2017 Accepting new patients
Redmed, LLC CurrentSince Nov 28, 2015 Accepting new patients
Methodist Emergency Physicians PLLC Past Accepting new patients

Locations

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

401 Southcrest Cir
Ste 103
Southaven, MS 38671
Phone (601) 349-4820

7550 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 542-6800

530 Oak Court Dr
Ste 125
Memphis, TN 38117
Phone (901) 507-8040

Interoperability endpoints

  • Direct secure messaging: jessica.lawrence.1@1407.direct.athenahealth.com

Organizations & group practices 6

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1609100536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SHILOH DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642123",
            "telephone_number": "870-739-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-516-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JESSICA",
        "middle_name": "JOY",
        "credential": "APN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000014274",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A03268ANP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "A810398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.