MS. KEESHA LATREACE NATHANIEL FNP-C
NPI 1578842696
Nurse Practitioner in Jackson, TN

Q: What is Keesha Nathaniel's NPI number?

The NPI number for Keesha Nathaniel is 1578842696. It was assigned to this individual provider in the NPPES registry on August 7, 2011.

Q: What is Keesha Nathaniel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Keesha Nathaniel was last updated on December 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 07, 2011PECOS EnrolledAccepts Medicare Assignment

238 SUMMAR DR, JACKSON, TN 38301(731) 541-8200 Get Directions Write a Review

NPPES record last updated: December 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2025, Jan 18, 2022 (2 updates tracked since 2022).

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About Ms. Keesha Latreace Nathaniel Fnp-c NPPES

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

MS. KEESHA LATREACE NATHANIEL FNP-C (NPI 1578842696) is an individual nurse practitioner in Jackson, Tennessee, licensed in Tennessee (APN14576) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1578842696

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. KEESHA LATREACE NATHANIELCredential: FNP-C

Location Address238 SUMMAR DRJackson, TN 38301-3906

Mailing Address1804 Highway 45 Byp Ste 604Jackson, TN 38305-4403 · (731) 660-8781 · Fax (731) 660-8739

Phone(731) 541-8200

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 7, 2011

Last NPPES UpdateDecember 14, 20252 updates tracked since enumeration

NPPES CertifiedDecember 14, 2025

✔ NPI 1578842696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · APN14576

Definition

(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.

238 SUMMAR DR, Jackson, TN 38301

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Secondary Practice Locations 2

Location 1930 Mount Zion RdUnion City, TN 38261-7695 · Phone (731) 885-9333 · Fax (731) 885-5860

Location 2168 W University Pkwy Ste CJackson, TN 38305-1624 · Phone (615) 308-6251

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.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

Ms. Keesha Latreace Nathaniel Fnp-c 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 ID42458705

PECOS Enrollment IDI20130607000576

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.

Areas of Expertise CMS Part B claims

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 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

30 services14 patients

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.

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.

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.

CARRIE DAVIS BURNS CASE MANAGER

Counselor (Mental Health)