Individual provider Active NPI

Cindy K Jones, C.F.N.P.

  • Family Nurse Practitioner
  • Selmer, TN
National Provider Identifier
1821024639
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN5800 Issued in TN
Practice address
270 E Court Ave
Selmer, TN 38375-2304
Phone
(731) 645-7932
Fax
(731) 645-5195
NPI assigned
Jun 23, 2006
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN5800 TN Primary
Registered Nurse 163W00000X RN60768 TN

Addresses

Primary practice location

270 E Court Ave
Selmer, TN 38375-2304

Mailing address

426 White Ave
Henderson, TN 38340-1914
Phone (731) 989-2174

Other names 1

  • Cindy K Sherrill 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
I20101028001016 TN Practitioner - Nurse Practitioner 3678767175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
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)

426 White Ave
Henderson, TN 38340-0000
Phone (731) 989-2174

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
RN60768TNMDRegistered Nurse
APN5800TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc CurrentSince Feb 1, 2017 Accepting new patients
Jackson Surgical Associates. PA Past Accepting new patients

Locations

710 E Main St
Adamsville, TN 38310
Phone (731) 632-3383

426 White Ave
Henderson, TN 38340
Phone (731) 989-2174

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

9550 Highway 412 W
Lexington, TN 38351
Phone (731) 967-3224

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

Interoperability endpoints

  • Direct secure messaging: cjones18560@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 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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1821024639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 WHITE AVE",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383401914",
            "telephone_number": "731-989-2174",
            "fax_number": "731-645-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E COURT AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752304",
            "telephone_number": "731-645-7932",
            "fax_number": "731-645-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CINDY",
        "middle_name": "K",
        "credential": "C.F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN5800",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN60768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "SHERRILL",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Selmer, TN

Sources for this page

Verify at the official NPI Registry.