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JADE BOULTON APRN
NPI 1760218630
Nurse Practitioner - Family in Memphis, TN

Active since September 09, 2024PECOS EnrolledAccepts Medicare Assignment
80 HUMPHREYS CENTER DR STE 200, MEMPHIS, TN 38120(901) 761-3900 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Sep 9, 2024 (2 updates tracked since 2024).

About Jade Boulton Aprn NPPES

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

JADE BOULTON APRN (NPI 1760218630) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (36838) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2024).

NPPES Registry Identity

NPI1760218630
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJADE BOULTONCredential: APRN
Location Address80 HUMPHREYS CENTER DR STE 200Memphis, TN 38120-2352
Mailing AddressPo Box 405827Atlanta, GA 30384-5827
Phone(901) 761-3900
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2024
Enumeration DateSeptember 9, 2024
Last NPPES UpdateApril 30, 20252 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1760218630 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 · 36838
80 HUMPHREYS CENTER DR STE 200, Memphis, TN 38120
Open in Google Maps ↗

Other Names 1

Former Name (1)Jade Vo Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Jade Boulton Aprn 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 ID7911423199
PECOS Enrollment IDI20250430002545, I20250930002370, I20251003002628
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 38120 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 4

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

ANGELA LOIS REARDON NP
Nurse Practitioner (Family)
80 HUMPHREYS CENTER DR STE 200
MEMPHIS, TN 38120
Shelby County (901) 761-3900
ANDRE C THOMPSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
80 HUMPHREYS CENTER DR STE 200
MEMPHIS, TN 38120
Shelby County (901) 578-2538
MICHAEL WAYNE SIMS CRNA
Nurse Anesthetist, Certified Registered
80 HUMPHREYS CENTER DR STE 200
MEMPHIS, TN 38120
Shelby County (901) 578-2538
GASTROINTESTINAL SPECIALISTS FOUNDATION, INC
Internal Medicine (Gastroenterology)
80 HUMPHREYS CENTER DR STE 200
MEMPHIS, TN 38120
Shelby County (901) 578-2538

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 Jade Boulton's NPI number?

The NPI number for Jade Boulton is 1760218630. It was assigned to this individual provider in the NPPES registry on September 9, 2024. The provider is also known as Jade Vo Rn.

Where is Jade Boulton located?

Jade Boulton practices at 80 Humphreys Center Dr Ste 200, Memphis, TN 38120. The listed phone number is (901) 761-3900.

What is Jade Boulton's specialty?

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

Is Jade Boulton enrolled in Medicare?

Yes. Jade Boulton 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.

What insurance does Jade Boulton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Jade Boulton 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 Jade Boulton was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.