Kelley Lumley, NP - Medicare Nurse Practitioner in Jackson, TN

Kelley Lumley, NP is a medicare enrolled "Nurse Practitioner" in Jackson, Tennessee. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gastroenterology Center Of The Midsouth Pllc and her current practice location is 27 Medical Center Dr, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 424-1001.

Kelley Lumley is licensed to practice in Tennessee (license number 25362) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679047146.

Contact Information

Kelley Lumley, NP
27 Medical Center Dr,
Jackson, TN 38301-3949
(731) 424-1001
(731) 426-0344

Map and Direction




Provider's Profile

Full NameKelley Lumley
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location27 Medical Center Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelley Lumley graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1679047146
  • Provider Enumeration Date: 01/17/2019
  • Last Update Date: 07/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5890034730
  • Enrollment ID: I20190311002648

Medical Identifiers

Medical identifiers for Kelley Lumley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679047146NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 205390 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 25362 (Tennessee)Secondary
363L00000XNurse Practitioner 25362 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson-madison County General HospitalJackson, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gastroenterology Center Of The Midsouth Pllc4880619824138

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelley Lumley allows following entities to bill medicare on her behalf.
Entity NameGastroenterology Center Of The Midsouth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417932492
PECOS PAC ID: 4880619824
Enrollment ID: O20060201000753
Entity NameWest Tennessee Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053615955
PECOS PAC ID: 3971781006
Enrollment ID: O20110621000009

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelley Lumley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelley Lumley, NP
2020 Exeter Rd,
Germantown, TN 38138-3945

Ph: (901) 747-3630
Kelley Lumley, NP
27 Medical Center Dr,
Jackson, TN 38301-3949

Ph: (731) 424-1001

Reviews and Comments


Nurse Practitioner Nurses in Jackson, TN

Katherine E Wyatt, A.P.R.N.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 145 Innovation Dr, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8301
Amy K Lawrence, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8380
Lauren Williams,
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Medicare: Medicare Enrolled
Practice Location: 1047 Union University Dr, Jackson, TN 38305
Phone: 731-256-0035    
Anna K Younger, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 145 Innovation Dr, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8301
Kirsten Siler,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27a Medical Center Drive, Jackson, TN 38301
Phone: 731-541-3310    
Stephanie Pool, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 36 Pemberton Cv, Jackson, TN 38305
Phone: 731-394-1145    Fax: 844-374-0233
Kimberlie A Simpson, APRN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 23 Independence Ln, Jackson, TN 38305
Phone: 731-617-1483    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.