Jacqueline Michele Hafner, ACNPC-AG

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

29092 Issued in TN

Practice address

5259 Summer Wind LN
Arlington, TN 38002-9598

Phone

(901) 297-0637

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifestyle Neurology PCGroup PAC ID 6103164041, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifestyle Neurology PC

  • Neurology Physician
  • Germantown, TN
  • NPI 1497226682
  Medicare reassignment Care Compare group NPD
• E Arthur Franklin MD PC

  • Internal Medicine Physician
  • Germantown, TN
  • NPI 1790989184
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1780279133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5259 SUMMER WIND LN",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380029598",
            "telephone_number": "901-297-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5259 SUMMER WIND LN",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380029598",
            "telephone_number": "901-297-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFNER",
        "first_name": "JACQUELINE",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "29092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L Green
• Melissa Grigsby
• Phillip Grimes
• Kelli Ellen Grubbs, DDS
• Christopher Robert Guillo, PA-C
• Marilou Haren, PT
• Harmony at Morning Grove
• Elizabeth Ann Harrison, RD, LDN
• Jamie Hart
• Haven Home Care Agency LLC

• Nurse Practitioner in Arlington, TN
• Providers in Arlington, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.