Peter Franklin Jelsma, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

33958 Issued in TN

Practice address

4220 Harding Pike
Nashville, TN 37205-2005

Phone

(615) 222-2087

Fax

(615) 222-3702

NPI assigned

Feb 6, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Northwestern University Feinberg Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acla PCGroup PAC ID 9133117534, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
• Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053
• Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151
• Saint Thomas Highlands Hospital Hospital, Sparta, TN, CCN 440192

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Acla PC

  dba Anatomic & Clinical Laboratory Associates PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Nashville, TN
  • NPI 1891995163
  Medicare reassignment Care Compare group NPD
• Patient Centered Diagnostics PLC

  • Dermatopathology Physician
  • Nashville, TN
  • NPI 1215354980

  Anatomic Pathology & Clinical Pathology

  NPD (past)
• Peoria Tazewell Pathology Group, S.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Peoria, IL
  • NPI 1578597738
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Thomas Highlands Hospital, LLC

  dba Ascension Saint Thomas Highlands

  • General Acute Care Hospital
  • Sparta, TN
  • NPI 1922487966
  Care Compare affiliation
• Saint Thomas River Park Hospital, LLC

  dba Ascension Saint Thomas River Park

  • General Acute Care Hospital
  • McMinnville, TN
  • NPI 1518346469
  Care Compare affiliation
• Saint Thomas River Park Hospital, LLC

  dba Ascension Saint Thomas River Park

  • Ambulatory Surgical Clinic/Center
  • McMinnville, TN
  • NPI 1558742304

  Hospital

  Care Compare affiliation
• Saint Thomas Rutherford Hospital

  dba Ascension Saint Thomas Rutherford

  • General Acute Care Hospital
  • Murfreesboro, TN
  • NPI 1164590386
  Care Compare affiliation
• Saint Thomas West Hospital

  dba Ascension Saint Thomas Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648
  Care Compare affiliation

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922070713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CHURCH ST STE 615",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032031",
            "telephone_number": "615-284-7950",
            "fax_number": "615-284-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HARDING PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052005",
            "telephone_number": "615-222-2087",
            "fax_number": "615-222-3702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Harding Rd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052005",
            "country_code": "US",
            "telephone_number": "615-222-6756",
            "fax_number": "615-222-6883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4220 Harding Pike Ste 504",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052005",
            "country_code": "US",
            "telephone_number": "615-298-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JELSMA",
        "first_name": "PETER",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "33958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q004779",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3853492",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sterling Jeffries
• Alexander David Jeffs, MD
• Victor Jegede, MD
• Miranda Jelinek
• Christina Anne Jelly, MD, MS
• Benny Jemmott, PHARM.D.
• Anna Jendrzey
• Alyssia Jenkins
• Amy Jenkins, MD
• Caroline Portis Jenkins, MSN, FNP-BC

• Anatomic Pathology & Clinical Pathology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.