Active NPI
Jessica Mabry, APRN
- Acute Care Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 34443
- Practice address
- 1265 Union Ave
Memphis, TN 38104-3415 - Phone
- (901) 516-7000
- NPI assigned
- Aug 14, 2023
- Last updated
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 34443 | TN | Primary |
Addresses
Primary practice location
1265 Union Ave
Memphis, TN 38104-3415
Mailing address
9501 William Little Dr
Lakeland, TN 38002-9480
Phone (901) 413-5257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 E Appleby Rd
Suite 401
Fayetteville, AR 72703-3163
Phone (479) 404-2500
3215 N Northhills Blvd
Washington Regional Hospital Medicine Group
Fayetteville, AR 72703-4424
Phone (479) 463-7102
5050 Poplar Ave
Suite 800
Memphis, TN 38157-0800
Phone (901) 276-2662
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Pulmonary Specialists PC | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| Washington Regional Medical Center | Past | Accepting new patients | |
| Washington Regional Medical System | Past | Accepting new patients |
Locations
3 E Appleby Rd
Ste 401
Fayetteville, AR 72703
Phone (479) 404-2500
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
5050 Poplar Ave
Ste 800
Memphis, TN 38157
Phone (901) 276-2662
Interoperability endpoints
- jessica.mabry.p1@direct.mspulmonary.nextgenshare.com
- jmabry27542@mlh.direct-ci.com
Organizations & group practices 6
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Memphis, TN
- NPI 1073592275
-
dba Washington Regional Hospital Medicine Group
- Hospitalist Physician
- Fayetteville, AR
- NPI 1306801485
-
dba Washington Regional Family Clinic - Springdale
- Family Medicine Physician
- Springdale, AR
- NPI 1326376419
-
dba Washington Regional Family Clinic - Farmington
- Family Medicine Physician
- Farmington, AR
- NPI 1275839011
-
dba Crossroads Medical Clinic - Washington Regional
- Family Medicine Physician
- Harrison, AR
- NPI 1699023895
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Francis Hospital-Bartlett
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1831872084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9501 WILLIAM LITTLE DR",
"city": "LAKELAND",
"state": "TN",
"postal_code": "380029480",
"telephone_number": "901-413-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043415",
"telephone_number": "901-516-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "JESSICA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "34443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.