Individual provider Active NPI

Jamie Wilson, NP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1740684729
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25316 Issued in TN
Practice address
24 White Bridge Pike
Nashville, TN 37205-1411
Phone
(615) 352-7735
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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 25316 TN Primary

Addresses

Primary practice location

24 White Bridge Pike
Nashville, TN 37205-1411

Mailing address

820 Springer Dr
Lombard, IL 60148-6413
Phone (815) 744-8554

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
I20200422001505 TN Practitioner - Nurse Practitioner 2365766771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
55.66 of 100Reported as group
Quality
68.33
Promoting interoperability
0
Improvement activities
40
Cost
67.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25316TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Hill Dermatology PLC CurrentSince Jun 1, 2021 Accepting new patients
Pinnacle Dermatology, SC CurrentSince Feb 1, 2020 Accepting new patients
Southeastern Dermatology Group PA PastSince Jun 1, 2021 Accepting new patients

Locations

820 Springer Dr
Lombard, IL 60148
Phone (708) 634-4602

100 Blythewood Dr
Ste A
Columbia, TN 38401
Phone (931) 381-1920

1430 W Baddour Pkwy
Ste A1
Lebanon, TN 37087
Phone (615) 443-0436

1670 W Main St
Ste 140
Lebanon, TN 37087
Phone (615) 453-9492

1970 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 624-5050

1725 Medical Center Pkwy
Ste 300
Murfreesboro, TN 37129

24 White Bridge Pike
Nashville, TN 37205
Phone (615) 352-0011

1229 Reserve Blvd
Ste 200
Spring Hill, TN 37174
Phone (615) 302-5000

Organizations & group practices 3

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": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1740684729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SPRINGER DR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486413",
            "telephone_number": "815-744-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WHITE BRIDGE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051411",
            "telephone_number": "615-352-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.