Individual provider Active NPI

Bobby Jean Stewart, MSN, FNP-BC

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1861734972
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17459 Issued in TN
Practice address
670 N Germantown Pkwy Ste 18
Cordova, TN 38018-6287
Phone
(901) 753-7686
Fax
(901) 759-9968
NPI assigned
Mar 27, 2013
Last updated
May 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017778 CA
Family Nurse Practitioner 363LF0000X 903352 MS
Family Nurse Practitioner 363LF0000X 17459 TN Primary

Addresses

Primary practice location

670 N Germantown Pkwy Ste 18
Cordova, TN 38018-6287

Mailing address

8094 Chrysalis CV
Cordova, TN 38016-7197
Phone (901) 791-2478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130424000277 TN Practitioner - Nurse Practitioner 2466698253 Reassigns benefits to 2 organizations
I20200128002542 MS Practitioner - Nurse Practitioner 2466698253 Reassigns benefits to 2 organizations
I20230322001862 CA Practitioner - Nurse Practitioner 2466698253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903352MSMDFamily Nurse Practitioner
17459TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Medical Group Nurse Practitioner CurrentSince Jul 30, 2022 Accepting new patients
Cherokee Health Systems Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 2, 2019 Accepting new patients
Team Physicians of California Medical Group Inc Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 2, 2019 Accepting new patients
Clinic Services of California Medical Group Inc Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Sep 1, 2017 Accepting new patients
Memphis Urgent Care #2, LLC. PastSince Feb 14, 2021 Accepting new patients
Delta Physician Practices Family Past Accepting new patients
Memphis Internists, LLC Past Accepting new patients

Locations

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7600

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1861734972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8094 CHRYSALIS CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380167197",
            "telephone_number": "901-791-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N GERMANTOWN PKWY STE 18",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186287",
            "telephone_number": "901-753-7686",
            "fax_number": "901-759-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BOBBY",
        "middle_name": "JEAN",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017778",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903352",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.