Fred J Sesti , FNP
Nurse Practitioner • Jackson, TN
31 Physicians Dr
Jackson, TN 383052071
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 3, 2006; this date does not establish years in practice.
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Published CMS data list 782 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 271 service units.
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 103 service units.
- 99214 — Established patient outpatient office visit: 102 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 13 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 4,741 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 237 prescription fills, including refills.
- Amlodipine Besylate — 198 prescription fills, including refills.
- Omeprazole — 164 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 103 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Nurse Practitioner in Jackson, TN (2024, 49 clinicians with data). Median for this group: 519. Middle half: 317 to 2,773.
More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Tennessee (2024, 1,028 clinicians with data). Median for this group: 374. Middle half: 119 to 1,200.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,129 in 2020 to 782 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
31 Physicians Dr
Jackson, TN 383052071
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Jackson Madison County General Hospital. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1999
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
246 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $51,005 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $35,461 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
9,617 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$456,949 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $891.66 across 34 records.
By nature of payment
- Food and Beverage: $791.71 across 33 records.
- Education: $99.95 across 1 record.
Reporting-company totals (3 largest of 19)
- Sanofi and Genzyme US Companies: $224.95 across 2 records.
- GlaxoSmithKline, LLC.: $106.78 across 5 records.
- Novartis Pharmaceuticals Corporation: $76.59 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
27 years (graduated 1999)
CMS Doctors and Clinicians data list 1999 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Fred Sesti has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Fred Sesti as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Jackson and Tennessee
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Nurse Practitioner in Jackson, TN (2024, 49 clinicians with data). Median for this group: 519. Middle half: 317 to 2,773.
More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Tennessee (2024, 1,028 clinicians with data). Median for this group: 374. Middle half: 119 to 1,200.
Medicare-allowed amount
Close to the middle for clinicians listed under Nurse Practitioner in Jackson, TN (2024, 49 clinicians with data). Median for this group: $49,631. Middle half: $20,762 to $110,809.
A higher Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Tennessee (2024, 1,028 clinicians with data). Median for this group: $23,735. Middle half: $8,413 to $57,513.
Paid by Medicare
Close to the middle for clinicians listed under Nurse Practitioner in Jackson, TN (2024, 49 clinicians with data). Median for this group: $38,641. Middle half: $15,483 to $85,001.
A higher Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Tennessee (2024, 1,028 clinicians with data). Median for this group: $17,972. Middle half: $5,982 to $43,594.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Jackson, TN (2024, 58 clinicians with data). Median for this group: 381. Middle half: 113 to 1,457.
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Tennessee (2024, 1,174 clinicians with data). Median for this group: 494. Middle half: 128 to 1,588.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Jackson, TN (2024, 58 clinicians with data). Median for this group: $20,975. Middle half: $1,187 to $211,188.
A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Tennessee (2024, 1,174 clinicians with data). Median for this group: $32,948. Middle half: $1,960 to $194,088.
92 active clinicians are listed under Nurse Practitioner with a practice address in Jackson, TN (2,305 in Tennessee).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Jackson
6.5% of these 92 clinicians have the CMS telehealth indicator.
64.1% of these 92 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 31% from 1,129 in 2020 to 782 in 2024.
- 2020: 1,129
- 2021: 883
- 2022: 1,094
- 2023: 1,028
- 2024: 782
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $56,335 in 2020 and $51,005 in 2024.
- 2020: $56,335
- 2021: $51,208
- 2022: $70,660
- 2023: $70,612
- 2024: $51,005
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Paid by Medicare
Paid by Medicare decreased 13% from $40,678 in 2020 to $35,461 in 2024.
- 2020: $40,678
- 2021: $34,286
- 2022: $52,307
- 2023: $52,853
- 2024: $35,461
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 22% from 6,107 in 2020 to 4,741 in 2024.
- 2020: 6,107
- 2021: 5,300
- 2022: 5,405
- 2023: 5,460
- 2024: 4,741
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30-day fills
30-day fills stayed about the same: 10,094 in 2020 and 9,617 in 2024.
- 2020: 10,094
- 2021: 9,513
- 2022: 10,141
- 2023: 11,045
- 2024: 9,617
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Part D drug cost
Part D drug cost increased 103% from $225,567 in 2020 to $456,949 in 2024.
- 2020: $225,567
- 2021: $190,419
- 2022: $244,449
- 2023: $399,218
- 2024: $456,949
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $527.51 in 2021 to $891.66 in 2025.
- 2021: $527.51
- 2022: $476.10
- 2023: $792.10
- 2024: $652.10
- 2025: $891.66
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 34 records totaling $891.66.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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REZUROCK | General | $125.00 |
| Sanofi and Genzyme US Companies |
Education
In-kind items and services
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SARCLISA | General | $99.95 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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KISQALI | General | $29.56 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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LYNPARZA | General | $29.53 |
| Daiichi Sankyo Inc. |
Food and Beverage
In-kind items and services
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INJECTAFER | General | $29.37 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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SCEMBLIX | General | $26.75 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
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Vyloy | General | $25.96 |
| SpringWorks Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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GOMEKLI | General | $24.61 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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VERZENIO | General | $24.40 |
| BeOne Medicines USA, Inc. |
Food and Beverage
In-kind items and services
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BRUKINSA | General | $24.14 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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KEYTRUDA | General | $23.26 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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CARVYKTI | General | $23.18 |
| Karyopharm Therapeutics Inc. |
Food and Beverage
In-kind items and services
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XPOVIO | General | $22.77 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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VERZENIO | General | $22.45 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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VERZENIO | General | $22.44 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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JEMPERLI | General | $22.03 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
JEMPERLI | General | $22.03 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
OJJAARA | General | $21.97 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
JEMPERLI | General | $21.06 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
Fabhalta | General | $20.28 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
OJJAARA | General | $19.69 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
BRAFTOVI | General | $19.66 |
| SpringWorks Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
GOMEKLI | General | $18.58 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
— | General | $18.08 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
OTEZLA | General | $17.57 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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271 | 127 | $231.00 | $101.81 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
103 | 67 | $35.00 | $13.22 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
102 | 85 | $231.00 | $76.93 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
49 | 49 | $334.00 | $103.99 |
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J1100
Injection, dexamethasone sodium phosphate, 1 mg
|
44 | 11 | $4.94 | $0.12 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
41 | 30 | $147.00 | $70.73 |
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81002
Urinalysis, manual test
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40 | 27 | $11.00 | $3.41 |
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G0444
Annual depression screening, 5 to 15 minutes
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39 | 39 | $53.00 | $14.95 |
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71046
X-ray of chest, 2 views
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33 | 26 | $55.00 | $20.73 |
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96372
Injection of drug or substance under skin or into muscle
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20 | 15 | $56.00 | $11.27 |
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90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
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14 | 14 | $561.75 | $287.49 |
|
G0009
Administration of pneumococcal vaccine
|
14 | 14 | $51.00 | $29.78 |
|
93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
|
12 | 12 | $72.00 | $11.21 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 237 | 19,442 | $2,476.78 | 71 |
| Amlodipine Besylate | Amlodipine Besylate | 198 | 14,853 | $1,107.94 | 58 |
| Omeprazole | Omeprazole | 164 | 9,326 | $1,566.22 | 43 |
| Furosemide | Furosemide | 151 | 7,775 | $563.96 | 34 |
| Lisinopril | Lisinopril | 140 | 8,124 | $887.55 | 34 |
| Famotidine | Famotidine | 127 | 5,539 | $1,138.39 | 30 |
| Hydrochlorothiazide | Hydrochlorothiazide | 124 | 6,353 | $570.56 | 29 |
| Gabapentin | Gabapentin | 118 | 5,340 | $1,426.66 | 35 |
| Levothyroxine Sodium | Levothyroxine Sodium | 115 | 9,330 | $954.14 | 35 |
| Potassium Chloride | Potassium Chloride | 115 | 7,542 | $3,096.09 | 35 |
| Simvastatin | Simvastatin | 112 | 6,839 | $686.77 | 24 |
| Eliquis | Apixaban | 108 | 4,322 | $84,732.91 | 19 |
| Losartan Potassium | Losartan Potassium | 99 | 7,057 | $1,312.69 | 30 |
| Alprazolam | Alprazolam | 98 | 2,804 | $266.64 | 21 |
| Montelukast Sodium | Montelukast Sodium | 90 | 4,354 | $1,234.72 | 14 |
| Pantoprazole Sodium | Pantoprazole Sodium | 89 | 7,290 | $1,161.05 | 32 |
| Ozempic | Semaglutide | 88 | 2,800 | $90,301.45 | 14 |
| Sertraline Hcl | Sertraline Hcl | 87 | 3,648 | $648.62 | 12 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 86 | 2,023 | $1,336.91 | 31 |
| Metoprolol Tartrate | Metoprolol Tartrate | 84 | 7,088 | $390.47 | 30 |
| Duloxetine Hcl | Duloxetine Hcl | 80 | 4,955 | $1,670.13 | 23 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 75 | 5,910 | $751.66 | 25 |
| Jardiance | Empagliflozin | 69 | 2,525 | $47,264.80 | 12 |
| Trazodone Hcl | Trazodone Hcl | 67 | 4,199 | $548.57 | 18 |
| Mounjaro | Tirzepatide | 65 | 2,184 | $79,303.66 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20111212000316
TN
5991970451
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Jackson Madison County General Hospital
720 W Forest Ave, Jackson, TN 383013904
Phone: 7315415087
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner
Nurse Practitioner - Family
Advanced Practice Nurse
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Career & Practice History
NPI enumerated October 03, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Jackson
- Adam Reinhard
- Crystal Crosser, APNP
- William Mclemore, APRN
- Lauren Henson, APN
- Devin Beck, APN
- Natasha Austin, FNP
Mailing Address
31 Physicians Dr
Jackson, TN 383052071
Phone: 7316640103