NATHAN W NAILS A.P.R.N.
NPI 1063160489
Nurse Practitioner - Family in Jackson, TN

Q: What is Nathan Nails's NPI number?

The NPI number for Nathan Nails is 1063160489. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Q: What is Nathan Nails's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Nails was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 15, 2022PECOS EnrolledAccepts Medicare Assignment

92.69/100

CMS Quality Rating

145 INNOVATION DR, JACKSON, TN 38305(731) 422-0213(731) 422-0409 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2024, Oct 25, 2023, Apr 11, 2022 (3 updates tracked since 2022).

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About Nathan W Nails A.p.r.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN W NAILS A.P.R.N. (NPI 1063160489) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (31565) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063160489

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameNATHAN W NAILSCredential: A.P.R.N.

Location Address145 INNOVATION DRJackson, TN 38305-3019

Mailing AddressPo Box 400Jackson, TN 38302-0400 · (731) 425-5752 · Fax (731) 425-5783

Phone(731) 422-0213

Fax(731) 422-0409

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 15, 2022

Last NPPES UpdateJune 20, 20243 updates tracked since enumeration

NPPES CertifiedJune 20, 2024

✔ NPI 1063160489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 31565

Also ListedEmergency MedicineTaxonomy 207P00000X · License 31565 (TN)

Also ListedFamily MedicineTaxonomy 207Q00000X · License 31565 (TN)

Also ListedInternal MedicineTaxonomy 207R00000X · License 31565 (TN)

Also ListedPediatricsTaxonomy 208000000X · License 31565 (TN)

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 31565 (TN)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 31565 (TN)

Also ListedSurgeryTaxonomy 208600000X · License 31565 (TN)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 217742 (TN)

145 INNOVATION DR, Jackson, TN 38305

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan W Nails A.p.r.n. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901292192

PECOS Enrollment IDI20220418000366

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nathan Nails reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Delta Clinics, Plc

23 mi

Cardiovascular Disease

9486 HIGHWAY 412 W
Lexington, TN 38351

Reassigned Medicare billing, Tennessee enrollment
15 clinicians in this Medicare group

NPI 1396033379 (731) 968-0984

Haywood County Community Hospital, Inc

23 mi

Emergency Medicine

2545 N WASHINGTON AVE
Brownsville, TN 38012

Reassigned Medicare billing, Tennessee enrollment
42 clinicians in this Medicare group

NPI 1790444933 (731) 968-3646

Lexington Hospital Corporation

26 mi

Emergency Medicine

200 WEST CHURCH STREET
Lexington, TN 38351

Reassigned Medicare billing, Tennessee enrollment
49 clinicians in this Medicare group

NPI 1083809669 (731) 968-3646

Lexington Clinic Corp

26 mi

Family Medicine

200 W CHURCH ST
Lexington, TN 38351

Reassigned Medicare billing, Tennessee enrollment
48 clinicians in this Medicare group

NPI 1780652107 (731) 968-3646

Lexington Family Physicians LLC

26 mi

Family Medicine

200 W CHURCH ST
Lexington, TN 38351

Reassigned Medicare billing, Tennessee enrollment
47 clinicians in this Medicare group

NPI 1265660708 (731) 968-3646

Perry County Community Hospital Inc

56 mi

Critical Access

2718 SQUIRREL HOLLOW DR
Linden, TN 37096

Reassigned Medicare billing, Tennessee enrollment
27 clinicians in this Medicare group

NPI 1528890480 (731) 968-3646

Shamrock Community Hospital Inc

77 mi

Critical Access

5001 E MAIN ST
Erin, TN 37061

Reassigned Medicare billing, Tennessee enrollment
Also billed through NPI 1033878277 (Tennessee)
33 clinicians in this Medicare group

NPI 1811566540 (731) 968-3646

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

706 services263 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

61 services52 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

16 services16 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.39

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE E WYATT A.P.R.N.

Nurse Practitioner