Individual provider Active NPI

Jessica Renae Stiles, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1659965614
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0000027883 Issued in TN
Practice address
624 Grassmere Park Ste 15
Nashville, TN 37211-3671
Phone
(615) 333-2152
NPI assigned
Feb 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000027883 TN Primary

Addresses

Primary practice location

624 Grassmere Park Ste 15
Nashville, TN 37211-3671

Mailing address

142 Redden Xing
Charlotte, TN 37036-1405
Phone (615) 495-8280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, MS, AL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20220504000156 TN Practitioner - Nurse Practitioner 9133516594 Reassigns benefits to 2 organizations
I20220517001534 KY Practitioner - Nurse Practitioner 9133516594 Reassigns benefits to 2 organizations
I20220720003621 MS Practitioner - Nurse Practitioner 9133516594 Reassigns benefits to 2 organizations
I20230331000029 AL Practitioner - Nurse Practitioner 9133516594 Reassigns benefits to 2 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
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, shared by 4 NPIs, 192 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone (931) 762-7232

1475 Nashville Rd
Franklin, KY 42134-6961
Phone (615) 988-1571

25 Bear Pkwy
Lincoln, AL 35096-6798

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1854
Phone (205) 548-4102

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27883TNMDObstetrics & Gynecology Physician
APN0000027883TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 1, 2022 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jun 9, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 1, 2022 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Apr 1, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jun 9, 2022 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Apr 1, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 1, 2023 Accepting new patients
Innovative Senior Care Home Health of Nashville LLC PastSince Mar 4, 2021 Accepting new patients

Locations

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 548-4102

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

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

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

115 Highway 16 W
Carthage, MS 39051
Phone (601) 298-3101

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

101 W Broad St
Smithville, TN 37166
Phone (615) 318-1220

Organizations & group practices 10

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": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1659965614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 REDDEN XING",
            "city": "CHARLOTTE",
            "state": "TN",
            "postal_code": "370361405",
            "telephone_number": "615-495-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 GRASSMERE PARK STE 15",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113671",
            "telephone_number": "615-333-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "JESSICA",
        "middle_name": "RENAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000027883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.