JASMINE GRANGER
NPI 1174139455
Nurse Practitioner - Family in Collierville, TN

Active since September 22, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3685 S HOUSTON LEVEE RD, COLLIERVILLE, TN 38017(901) 457-2933 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2021, Feb 9, 2021, Sep 22, 2020 (3 updates tracked since 2020).

About Jasmine Granger NPPES

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

JASMINE GRANGER (NPI 1174139455) is an individual family provider in Collierville, Tennessee, licensed in Tennessee (28122) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Shubuta, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174139455
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJASMINE GRANGER
Location Address3685 S HOUSTON LEVEE RDCollierville, TN 38017-9009
Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108 · (615) 425-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 22, 2020
Last NPPES UpdateMarch 4, 20213 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
NPI 1174139455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TN · 28122 Licensed in MS · 904141
3685 S HOUSTON LEVEE RD, Collierville, TN 38017

Secondary Practice Location 1

Location 1130 S High StShubuta, MS 39360-9500 · Phone (601) 687-5859

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jasmine Granger 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 ID2365856986
PECOS Enrollment IDI20210122000164
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38017 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
3685 S HOUSTON LEVEE RD
COLLIERVILLE, TN 38017
Pharmacist
3685 S HOUSTON LEVEE RD
COLLIERVILLE, TN 38017
Pharmacy (Community/Retail Pharmacy)
3685 S HOUSTON LEVEE RD
COLLIERVILLE, TN 38017
Nurse Practitioner (Family)
3685 S HOUSTON LEVEE RD
COLLIERVILLE, TN 38017
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3685 S HOUSTON LEVEE RD
COLLIERVILLE, TN 38017
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3685 S HOUSTON LEVEE RD
COLLIERVILLE, TN 38017
Nurse Practitioner (Family)
3685 S HOUSTON LEVEE RD
COLLIERVILLE, TN 38017
Nurse Practitioner (Family)
3685 S HOUSTON LEVEE RD
COLLIERVILLE, TN 38017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174139455, enumerated as an "individual" on September 22, 2020.

The provider is located at 3685 S HOUSTON LEVEE RD COLLIERVILLE, TN 38017 and the phone number is (901) 457-2933.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.