Individual provider Active NPI

Kerri E. Sumler, FNP-C

  • Family Nurse Practitioner
  • Michie, TN
National Provider Identifier
1902301237
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28583 Issued in TN
Practice address
6659 Michie Pebble Hill Rd
Michie, TN 38357-5115
Phone
(731) 632-1783
Fax
(731) 632-1786
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28583 TN Primary
Primary Care Nurse Practitioner 363LP2300X 28583 TN
Nurse Practitioner 363L00000X 28583 TN

Addresses

Primary practice location

6659 Michie Pebble Hill Rd
Michie, TN 38357-5115

Mailing address

6659 Michie Pebble Hill Rd
Michie, TN 38357-5115
Phone (731) 632-1783

Other names 1

  • Kerri E Russom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180503001154 MS Practitioner - Nurse Practitioner 1052675808 Reassigns benefits to 3 organizations
I20210805001543 TN Practitioner - Nurse Practitioner 1052675808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michie Medical Clinic IncGroup PAC ID 6608806500, 2 clinicians

Practice addresses (Care Compare)

6659 Michie Pebble Hill Rd
Michie, TN 38357-5115
Phone (731) 632-1783

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28583TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center CurrentSince Mar 1, 2018 Accepting new patients
Magnolia Regional Health Center CurrentSince Aug 1, 2018 Accepting new patients
Magnolia Hospitalist Group CurrentSince Mar 1, 2018 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center CurrentSince Mar 1, 2018 Accepting new patients
Michie Medical Clinic, Inc. CurrentSince Mar 8, 2021 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center Current Accepting new patients

Locations

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

703 Alcorn Dr
Ste 109
Corinth, MS 38834
Phone (662) 286-1499

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

401 Alcorn Dr
Ste 2D
Corinth, MS 38834
Phone (662) 293-1565

401 Alcorn Dr
Ste 2B
Corinth, MS 38834
Phone (662) 293-1680

6659 Michie Pebble Hill Rd
Michie, TN 38357
Phone (731) 227-5211

Interoperability endpoints

  • Direct secure messaging: kerrisumler@magnolia.medalliesdirect.net
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400014

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1902301237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 MICHIE PEBBLE HILL RD",
            "city": "MICHIE",
            "state": "TN",
            "postal_code": "383575115",
            "telephone_number": "731-632-1783",
            "fax_number": "731-632-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 MICHIE PEBBLE HILL RD",
            "city": "MICHIE",
            "state": "TN",
            "postal_code": "383575115",
            "telephone_number": "731-632-1783",
            "fax_number": "731-632-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMLER",
        "first_name": "KERRI",
        "middle_name": "E.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28583",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "28583",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "28583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "RUSSOM",
            "middle_name": "E",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Michie, TN

Sources for this page

Verify at the official NPI Registry.