Caroline Rose Qualls, FNP-C - Medicare Nurse Practitioner in Jackson, TN

  1. Home
  2. Nurse Practitioner
  3. TN
  4. Jackson
Caroline Rose Qualls, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Tennessee. Her current practice location is 221 Sterling Farm Dr, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 300-6155.

Caroline Rose Qualls is licensed to practice in Tennessee (license number 32681) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407571185.

Contact Information

Caroline Rose Qualls, FNP-C
221 Sterling Farm Dr,
Jackson, TN 38305-5727
(731) 300-6155
Not Available

Map and Direction




Provider's Profile

Full NameCaroline Rose Qualls
GenderFemale
SpecialityNurse Practitioner - Family
Location221 Sterling Farm Dr, Jackson, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407571185
  • Provider Enumeration Date: 10/05/2022
  • Last Update Date: 07/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8325418999
  • Enrollment ID: I20221226000188

Medical Identifiers

Medical identifiers for Caroline Rose Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407571185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 32681 (Tennessee)Primary

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. Caroline Rose Qualls allows following entities to bill medicare on her behalf.
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameKidney Experts Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225529142
PECOS PAC ID: 5597015131
Enrollment ID: O20180901000002

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. Caroline Rose Qualls 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
Caroline Rose Qualls, FNP-C
221 Sterling Farm Dr,
Jackson, TN 38305-5727

Ph: (731) 300-6155		Caroline Rose Qualls, FNP-C
221 Sterling Farm Dr,
Jackson, TN 38305-5727

Ph: (731) 300-6155

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: Medicare Enrolled
Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8380
Lauren Williams,
Nurse Practitioner
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.