Ms Keesha Latreace Nathaniel, FNP-C - Medicare Nurse Practitioner in Dyersburg, TN

  1. Home
  2. Nurse Practitioner
  3. TN
  4. Dyersburg
Ms Keesha Latreace Nathaniel, FNP-C is a medicare enrolled "Nurse Practitioner" in Dyersburg, Tennessee. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pathways Of Tennessee Inc and her current practice location is 1720 Woodlawn Ave Ste 1, Dyersburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 287-4500.

Ms Keesha Latreace Nathaniel is licensed to practice in Tennessee (license number APN14576) 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 1578842696.

Contact Information

Ms Keesha Latreace Nathaniel, FNP-C
1720 Woodlawn Ave Ste 1,
Dyersburg, TN 38024-1300
(731) 287-4500
Not Available

Map and Direction




Provider's Profile

Full NameMs Keesha Latreace Nathaniel
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location1720 Woodlawn Ave Ste 1, Dyersburg, 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:
  • Ms Keesha Latreace Nathaniel graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1578842696
  • Provider Enumeration Date: 08/07/2011
  • Last Update Date: 01/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0042458705
  • Enrollment ID: I20130607000576

Medical Identifiers

Medical identifiers for Ms Keesha Latreace Nathaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578842696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APN14576 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pathways Of Tennessee Inc650783361333

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. Ms Keesha Latreace Nathaniel allows following entities to bill medicare on her behalf.
Entity NameState Of Tennessee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487791315
PECOS PAC ID: 5698687077
Enrollment ID: O20031104000309
Entity NameHardeman County Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861468340
PECOS PAC ID: 5799694147
Enrollment ID: O20040615001290
Entity NamePathways Of Tennessee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497721609
PECOS PAC ID: 6507833613
Enrollment ID: O20040916000523
Entity NameState Of Tennessee-western Mental Health Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538114020
PECOS PAC ID: 3072557941
Enrollment ID: O20050613000721

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. Ms Keesha Latreace Nathaniel 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
Ms Keesha Latreace Nathaniel, FNP-C
1804 Highway 45 Byp Ste 604,
Jackson, TN 38305-4403

Ph: (731) 660-8781		Ms Keesha Latreace Nathaniel, FNP-C
1720 Woodlawn Ave Ste 1,
Dyersburg, TN 38024-1300

Ph: (731) 287-4500

Reviews and Comments


Nurse Practitioner Nurses in Dyersburg, TN

Peyton Barnett, DNP FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2550 Parr Ave, Dyersburg, TN 38024
Phone: 731-325-5678    
Heather Haddock, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1718 Parr Ave Ste E, Dyersburg, TN 38024
Phone: 731-285-9938    
Tammy Javellana, F.N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1505 Woodlawn Ave Ste A, Dyersburg, TN 38024
Phone: 731-478-6064    Fax: 731-478-6067
Amber Elaine Mejia, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 179 Quail Hollow Dr, Dyersburg, TN 38024
Phone: 870-623-8410    
Whitney Young, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 455 East Parkview, Dyersburg, TN 38024
Phone: 731-285-2100    
Tina Boyd-seng, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1950 Us Highway 51 Byp N, Dyersburg, TN 38024
Phone: 731-217-0449    
Leslie Olivia Dunevant, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1999 Saint John Ave, Dyersburg, TN 38024
Phone: 731-286-1400    

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.