Active NPI
Jillian McClintock, FNP
- Nurse Practitioner
- Hermitage, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 30217
- Practice address
- 5653 Frist Blvd Ste 434
Hermitage, TN 37076-2065 - Phone
- (615) 871-9996
- NPI assigned
- Nov 8, 2020
- 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 | 1003083 | TX | |
| Nurse Practitioner | 363L00000X | 30217 | TN | Primary |
Addresses
Primary practice location
5653 Frist Blvd Ste 434
Hermitage, TN 37076-2065
Mailing address
2004 Hayes St
Ste 800
Nashville, TN 37203-2659
Phone (615) 329-0570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003083 | Other | TX | APRN-CNP |
| F05200486 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5653 Frist Blvd
Suite 434
Hermitage, TN 37076-2065
Phone (615) 871-9996
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.71 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30217 | TN | MD | Nurse Practitioner |
| 1003083 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Oncology PLLC | Current | Accepting new patients |
Locations
5653 Frist Blvd
Ste 434
Hermitage, TN 37076
Phone (615) 871-9996
121 Bear Xing
Ste 200
Mt Juliet, TN 37122
Phone (615) 871-9996
2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023
1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1811955917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1992306609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 HAYES ST",
"address_2": "STE 800",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032659",
"telephone_number": "615-329-0570",
"fax_number": "615-329-0579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5653 FRIST BLVD STE 434",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762065",
"telephone_number": "615-871-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLINTOCK",
"first_name": "JILLIAN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-08",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1003083",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "30217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN-CNP",
"identifier": "1003083",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
"identifier": "F05200486",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.