Active NPI
Jacquelyn F Stinnes, NP
- Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7697
- Practice address
- 3960 New Covington Pike
Memphis, TN 38128-2504 - Phone
- (901) 516-5741
- Fax
- (901) 516-1220
- NPI assigned
- Mar 3, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 118029 | TN | |
| Nurse Practitioner | 363L00000X | 7697 | TN | Primary |
Addresses
Primary practice location
3960 New Covington Pike
Memphis, TN 38128-2504
Mailing address
1211 Union Ave Ste 330
Memphis, TN 38104-6655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3640121 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5741
Hospital & facility affiliations
- Methodist Hospitals of Memphis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7697 | TN | MD | Physical Therapist |
| 118029 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carr PLLC | Current | Accepting new patients | |
| Methodist North Emergency Physicians, PLLC | Current | Accepting new patients | |
| Olive Branch Emergency Physicians LLC | Current | Accepting new patients | |
| Methodist South Emergency Physicians, PLLC | Current | Accepting new patients | |
| Germantown Emergency Physicians, PLLC | Current | Accepting new patients | |
| Methodist University Emergency Physicians PLLC | Current | Accepting new patients | |
| Methodist Inpatient Physicians LLC | Current | Accepting new patients | |
| T M Carr MD PC | Nurse Practitioner | Current | Accepting new patients |
Locations
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
1265 Union Ave
#1
Memphis, TN 38104
Phone (901) 516-8279
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
Interoperability endpoints
- jstinnes27812@mlh.direct-ci.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1609850692
-
- Emergency Medicine Physician
- Germantown, TN
- NPI 1518747526
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1801677083
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1609657873
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1023899291
-
- Emergency Medicine Physician
- Olive Branch, MS
- NPI 1730969734
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1972632362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 UNION AVE STE 330",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 NEW COVINGTON PIKE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381282504",
"telephone_number": "901-516-5741",
"fax_number": "901-516-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINNES",
"first_name": "JACQUELYN",
"middle_name": "F",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-03",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "118029",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "7697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3640121",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.