Active NPI
Hannah Marie Keymon, FNP
- Family Nurse Practitioner
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 32010
- Practice address
- 2968 N Highland Ave
Jackson, TN 38305-3409 - Phone
- (731) 256-1819
- NPI assigned
- Apr 25, 2022
- Last updated
- Jul 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 32010 | TN | Primary |
| Plastic Surgery Registered Nurse | 163WS0121X | RN0000198928 | TN |
Addresses
Primary practice location
2968 N Highland Ave
Jackson, TN 38305-3409
Mailing address
1044 College St
Milan, TN 38358-3002
Phone (731) 694-3084
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1086 W Van Hook St
Milan, TN 38358-3026
Phone (731) 686-3343
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
9 Physicians Dr
Jackson, TN 38305-2071
Phone (731) 661-0086
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.73 of 100
- Quality
- 80.7
- Improvement activities
- 40
- Cost
- 51.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000198928 | TN | MD | Plastic Surgery Registered Nurse |
| 32010 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Radiology Associates PA | Current | Accepting new patients | |
| Cardiovascular Clinic of West TN PC | Current | Accepting new patients | |
| Jackson Madison County General Hospital | Current | Accepting new patients | |
| Omni Medical and Rehab Inc | Current | Accepting new patients | |
| Jackson Madison County General Hospital | Past | Accepting new patients |
Locations
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
17 Centre Plaza Dr
Jackson, TN 38305
Phone (731) 512-0104
2968 N Highland Ave
Jackson, TN 38305
Phone (731) 256-1819
31 Hughes Dr
Jackson, TN 38305
Phone (731) 668-2800
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
700 W Forest Ave
Jackson, TN 38301
Phone (731) 424-8922
9 Physicians Dr
Jackson, TN 38305
Phone (731) 661-0086
1086 W Van Hook St
Milan, TN 38358
Phone (731) 686-3343
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DAGDAA
Organizations & group practices 5
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.
-
dba JMCGH Radiology Professional
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1891687208
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1699700716
-
- Physical Medicine & Rehabilitation Physician
- Milan, TN
- NPI 1942617782
-
dba Cardiovascular Clinic of West Tennessee P.C.
- Cardiovascular Disease Physician
- Jackson, TN
- NPI 1740480961
-
- General Practice Physician
- Jackson, TN
- NPI 1467493916
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
dba West Tennessee Healthcare Milan Hospital
- General Acute Care Hospital
- Milan, TN
- NPI 1699765453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657411200000",
"number": "1952045197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 COLLEGE ST",
"city": "MILAN",
"state": "TN",
"postal_code": "383583002",
"telephone_number": "731-694-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2968 N HIGHLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053409",
"telephone_number": "731-256-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYMON",
"first_name": "HANNAH",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2022-07-10",
"certification_date": "2022-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "32010",
"primary": true
},
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "TN",
"license": "RN0000198928",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.