Individual provider Active NPI

Evelyn S Stiles, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1841373206
Registry record updated Oct 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000007827 Issued in TN
Practice address
2911 Brunswick Rd
Memphis, TN 38136-0001
Phone
(901) 377-4757
NPI assigned
Oct 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2011

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 APN0000007827 TN Primary

Addresses

Primary practice location

2911 Brunswick Rd
Memphis, TN 38136-0001

Mailing address

8595 Timber Creek Dr
Cordova, TN 38018-3597
Phone (901) 219-4504

Other identifiers 1

IdentifierTypeStateIssuer
P00072890OtherTNRAILROAD MEDICARE

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
I20111114000659 TN Practitioner - Nurse Practitioner 5092989855 Reassigns benefits to 1 organization
Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult and Adolescent Medicine Clinics PLLCGroup PAC ID 2163597378, 7 clinicians

Practice addresses (Care Compare)

3021 Brunswick Rd
RM 1105
Bartlett, TN 38133-4198
Phone (901) 726-3979

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7827TNMDMental Health Counselor
APN0000007827TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult and Adolescent Medicine Clinics PLLC CurrentSince Aug 1, 2022 Accepting new patients
Memphis Internists, LLC Past Accepting new patients

Locations

2911 Brunswick Rd
Bartlett, TN 38133
Phone (901) 373-0905

Interoperability endpoints

  • Direct secure messaging: estiles25986@mlh.direct-ci.com

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 3

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319932800000",
    "number": "1841373206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 TIMBER CREEK DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183597",
            "telephone_number": "901-219-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 BRUNSWICK RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381360001",
            "telephone_number": "901-377-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "EVELYN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2011-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000007827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00072890",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.