Individual provider Active NPI

Hannah Marie Keymon, FNP

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1952045197
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32010 Issued in TN
Practice address
2968 N Highland Ave
Jackson, TN 38305-3409
Phone
(731) 256-1819
NPI assigned
Apr 25, 2022
Last updated
Jul 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220805000161 TN Practitioner - Nurse Practitioner 6305228438 Reassigns benefits to 4 organizations

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
Omni Medical and Rehab, Inc.Group PAC ID 2062737372, 2 clinicians
Jackson Radiology Associates PAGroup PAC ID 6305893231, 28 clinicians

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 100Reported as group
Quality
80.7
Improvement activities
40
Cost
51.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN0000198928TNMDPlastic Surgery Registered Nurse
32010TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Radiology Associates PA CurrentSince Oct 16, 2023 Accepting new patients
Cardiovascular Clinic of West TN PC CurrentSince Jul 9, 2022 Accepting new patients
Jackson Madison County General Hospital CurrentSince Oct 1, 2025 Accepting new patients
Omni Medical and Rehab Inc CurrentSince Aug 11, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.