Charmaine Jackson Krupka, CNM, FNP-BC, IBCLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

16156 Issued in TN

Practice address

4928 Edmondson Pike Ste 205
Nashville, TN 37211-4791

Phone

(615) 222-1400

Fax

(615) 222-1410

NPI assigned

Oct 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Miss Charmaine Marie Jackson Former name

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

Vanderbilt University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charmaine.krupka.1@27069.direct.athenahealth.com
• Direct secure messaging: charmaine.krupka.1@23211.direct.athenahealth.com
• Direct secure messaging: charmaine.krupka.1@7654.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saint Thomas Medical Partners

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669
  Medicare reassignment Care Compare group NPD
• Saint Thomas Medical Partners

  • Clinical Neuropsychologist
  • Nashville, TN
  • NPI 1558506980
  NPD
• Diana Health TN, PC

  • Obstetrics & Gynecology Physician
  • Smyrna, TN
  • NPI 1457020844

  Advanced Practice Midwife

  NPD (past)
• Integrative Womens Care PC

  • Obstetrics & Gynecology Physician
  • Palo Alto, CA
  • NPI 1972266732
  NPD (past)

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1891070629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MANSFIELD AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063515",
            "telephone_number": "615-394-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 EDMONDSON PIKE STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114791",
            "telephone_number": "615-222-1400",
            "fax_number": "615-222-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 CHARLOTTE PIKE",
            "address_purpose": "LOCATION",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093320",
            "country_code": "US",
            "telephone_number": "615-222-1900",
            "fax_number": "615-222-1971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 2nd Ave S Fl 17",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372012366",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Northcrest Drive",
            "address_2": "Suite 520",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "37172",
            "country_code": "US",
            "telephone_number": "615-219-6190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Centre St Ph 120",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134559",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUPKA",
        "first_name": "CHARMAINE",
        "middle_name": "JACKSON",
        "name_prefix": "Mrs.",
        "credential": "CNM, FNP-BC, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16156",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "16156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q034583",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "T00242A",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARMAINE",
            "last_name": "JACKSON",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "CNM, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Marie Krueger, MS, RD
• Elizabeth Duke Krueger, MD
• Thomas Carleton Krueger, M.D.
• Adriane Elizabeth Kruer-Zerhusen, PSYD
• Zachary Krumsick, MD
• Elissa Mae Kruse, NURSE PRACTITIONER
• Karen Marie Kruse, PTA
• Johanna Sarah Maria Krygsman, CNM
• Mason Roman Krysinski, MD
• Lauren Kubat, FNP-BC

• Family Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.