Individual provider Active NPI

Matt Ramsey, FNP

  • Adult Health Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1699261099
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
23969 Issued in TN
Practice address
700 W Forest Ave Ste 200
Jackson, TN 38301-3940
Phone
(731) 541-9490
Fax
(731) 541-9486
NPI assigned
Jul 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 23969 TN Primary

Addresses

Primary practice location

700 W Forest Ave Ste 200
Jackson, TN 38301-3940

Mailing address

700 W Forest Ave Ste 200
Jackson, TN 38301-3940
Phone (731) 541-9490

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
I20180925002178 TN Practitioner - Nurse Practitioner 8729339155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

700 W Forest Ave
Jackson, TN 38301-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23969TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc Current Accepting new patients
Jackson Surgical Associates. PA Past Accepting new patients

Locations

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

700 W Forest Ave
Ste 200
Jackson, TN 38301
Phone (731) 423-1267

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

164 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-5900

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

4039 Highland St
Milan, TN 38358
Phone (731) 660-8755

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

270 E Court Ave
#B
Selmer, TN 38375
Phone 73164579322931

Interoperability endpoints

  • Direct secure messaging: mramsey17826@directepic.wth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1699261099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W FOREST AVE STE 200",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013940",
            "telephone_number": "731-541-9490",
            "fax_number": "731-541-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W FOREST AVE STE 200",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013940",
            "telephone_number": "731-541-9490",
            "fax_number": "731-541-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSEY",
        "first_name": "MATT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "23969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.