MIMI DILL NP
NPI 1407351794
Nurse Practitioner - Family in Jackson, TN
About Mimi Dill Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIMI DILL NP (NPI 1407351794) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (23863) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
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
Mimi Dill Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mimi Dill reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, TN 38305
- Reassigned Medicare billing, Tennessee enrollment
- 13 clinicians in this Medicare group
Englewood, OH 45322
- Reassigned Medicare billing, Tennessee enrollment
- 44 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
JACKSON, TN 38301
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 Mimi Dill's NPI number?
The NPI number for Mimi Dill is 1407351794. It was assigned to this individual provider in the NPPES registry on March 28, 2018.
Where is Mimi Dill located?
Mimi Dill practices at 587 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 424-8922.
What is Mimi Dill's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mimi Dill enrolled in Medicare?
Yes. Mimi Dill 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 Mimi Dill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mimi Dill reassigns Medicare benefits to 2 organizations: West Tennessee Rehab Group, P.C. (Jackson, TN) and Total Extended Care Services PC (Englewood, OH). 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 Mimi Dill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mimi Dill accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter of Alabama and 3 other insurers list Mimi Dill 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 Mimi Dill was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mimi Dill, NP · NPI 1407351794
Family physician in Jackson, Tennessee. Individual provider, active in the CMS NPPES registry since March 28, 2018.
## Identity
- **NPI:** 1407351794 (Entity type: Individual)
- **Enumerated:** March 28, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 23863 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 587 SKYLINE DR, Jackson, TN 38301-3938
- **Phone:** (731) 424-8922 · **Fax:** (731) 423-2922
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): West Tennessee Rehab Group, P.C. (NPI 1780675066, Jackson, TN); Total Extended Care Services PC (NPI 1699522029, Englewood, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1407351794) · Data from the CMS NPPES public registry.