Individual provider Active NPI

Crystal Renee Hill, FNP-BC

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1750698205
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15612 Issued in TN
Practice address
15 Stonebridge Blvd
Jackson, TN 38305-2042
Phone
(731) 265-6946
NPI assigned
Sep 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 15612 TN Primary

Addresses

Primary practice location

15 Stonebridge Blvd
Jackson, TN 38305-2042

Mailing address

8132 Cordova Rd
Cordova, TN 38016-6005
Phone (901) 405-6470

Other practice location 1

8132 Cordova Rd
Cordova, TN 38016-6005
Phone (901) 405-6470

Other identifiers 1

IdentifierTypeStateIssuer
1522595MedicaidTN

Other names 1

  • Crystal Renee Lofton Former name

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
I20110330000637 TN Practitioner - Nurse Practitioner 8729261680 Reassigns benefits to 1 organization
Practice locations: Humboldt, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Pain Clinics Inc 8 clinicians

Practice addresses (Care Compare)

15 Stonebridge Blvd
Jackson, TN 38305-2042
Phone (731) 265-6946

8132 Cordova Rd
Cordova, TN 38016-6005
Phone (901) 405-6470

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15612TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Pain Clinics Inc. CurrentSince Aug 20, 2018 Accepting new patients
Spectrum Pain Clinics, Inc CurrentSince Aug 20, 2018 Accepting new patients
Professional Imaging of Tennessee Past Accepting new patients
Madison Family Practice Family PastSince Sep 1, 2009 Accepting new patients

Locations

230 E James M Campbell Blvd
Ste 102
Columbia, TN 38401
Phone (931) 840-9588

8132 Cordova Rd
Cordova, TN 38016
Phone (901) 367-0811

15 Stonebridge Blvd
Jackson, TN 38305
Phone (731) 265-6946

23 Sandstone Cir
Jackson, TN 38305
Phone (731) 265-6946

311 S 3rd St
Union City, TN 38261

Organizations & group practices 5

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 1

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": "1283558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1750698205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132 CORDOVA RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166005",
            "telephone_number": "901-405-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052042",
            "telephone_number": "731-265-6946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8132 Cordova Rd",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380166005",
            "country_code": "US",
            "telephone_number": "901-405-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "CRYSTAL",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-04",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522595",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "LOFTON",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.