NICOLE JONES
NPI 1205213089
Nurse Practitioner - Family in Springfield, TN

Active since April 30, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2600 MEMORIAL BLVD, SPRINGFIELD, TN 37172(615) 212-0920 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nicole Jones NPPES

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

NICOLE JONES (NPI 1205213089) is an individual family provider in Springfield, Tennessee, licensed in Tennessee (APN0000019831) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bowling Green, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205213089
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE JONES
Location Address2600 MEMORIAL BLVDSpringfield, TN 37172-3925
Mailing Address510 Highway 76White House, TN 37188-9203
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 30, 2015
Last NPPES UpdateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1205213089 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
License✔ Licensed in TN · APN0000019831
2600 MEMORIAL BLVD, Springfield, TN 37172

Secondary Practice Location 1

Location 12945 Scottsville RdBowling Green, KY 42104-6331 · Phone (270) 783-3992

Accepted 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

Nicole Jones 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 ID6709197270
PECOS Enrollment IDI20150624002796, I20201006001677
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

2

Medicare enrollment records show Nicole Jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
510 HIGHWAY 76
White House, TN 37188
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37172 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 8

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

Pharmacy (Community/Retail Pharmacy)
2600 MEMORIAL BLVD
SPRINGFIELD, TN 37172
Pharmacist
2600 MEMORIAL BLVD
SPRINGFIELD, TN 37172
Pharmacist
2600 MEMORIAL BLVD
SPRINGFIELD, TN 37172
Pharmacist
2600 MEMORIAL BLVD
SPRINGFIELD, TN 37172
Pharmacist
2600 MEMORIAL BLVD
SPRINGFIELD, TN 37172
Pharmacist
2600 MEMORIAL BLVD
SPRINGFIELD, TN 37172
Nurse Practitioner (Family)
2600 MEMORIAL BLVD
SPRINGFIELD, TN 37172
Nurse Practitioner (Family)
2600 MEMORIAL BLVD
SPRINGFIELD, TN 37172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Jones's NPI number?

The NPI number for Nicole Jones is 1205213089. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Nicole Jones located?

Nicole Jones practices at 2600 Memorial Blvd, Springfield, TN 37172. The listed phone number is (615) 212-0920.

What is Nicole Jones's specialty?

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

Is Nicole Jones enrolled in Medicare?

Yes. Nicole Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Jones reassigns Medicare benefits to 2 organizations: The Little Clinic Of Tennessee LLC (White House, TN) and Kiosk Medicine Kentucky LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Jones accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nicole Jones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Jones was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.