Nicholas Archer, - Medicare Nurse Practitioner in Jackson, TN

Nicholas Archer, is a medicare enrolled "Nurse Practitioner - Acute Care" in Jackson, Tennessee. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Medical Center Anesthesia, Inc, Southeastern Physician Services Pc and his current practice location is 620 Skyline Dr, Cvicu, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 541-5000.

Nicholas Archer is licensed to practice in Tennessee (license number 21951) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760934855.

Contact Information

Nicholas Archer,
620 Skyline Dr, Cvicu,
Jackson, TN 38301-3923
(731) 541-5000
Not Available

Map and Direction




Provider's Profile

Full NameNicholas Archer
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location620 Skyline Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Archer graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1760934855
  • Provider Enumeration Date: 10/25/2016
  • Last Update Date: 10/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2961766688
  • Enrollment ID: I20180504001723

Medical Identifiers

Medical identifiers for Nicholas Archer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760934855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 21951 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson-madison County General HospitalJackson, TNHospital
Baptist Health PaducahPaducah, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Center Anesthesia, Inc276962918783
Southeastern Physician Services Pc0042307852499

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. Nicholas Archer allows following entities to bill medicare on his behalf.
Entity NameMedical Center Anesthesia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447591730
PECOS PAC ID: 2769629187
Enrollment ID: O20130502000265

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. Nicholas Archer 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
Nicholas Archer,
620 Skyline Dr, Cvicu,
Jackson, TN 38301-3923

Ph: () -
Nicholas Archer,
620 Skyline Dr, Cvicu,
Jackson, TN 38301-3923

Ph: (731) 541-5000

Reviews and Comments


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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.