MR. JACK DEMPSEY HYDRICK FNP NPI 1053382648

NPI Information

  • NPI: 1053382648
  • Provider Name: MR. JACK DEMPSEY HYDRICK, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2910 SOUTH CHURCH ST
    STE B
    MURFREESBORO, TN
    ZIP 37127
  • Phone: (615) 895-3600

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NPI Details

MR. Jack Dempsey Hydrick, FNP is a family nurse practitioner in Murfreesboro, TN with 26 years of experience. MR. Jack Dempsey Hydrick, FNP NPI is 1053382648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

2910 SOUTH CHURCH ST
STE B
MURFREESBORO, TN
ZIP 37127
Phone: (615) 895-3600
Fax: (615) 895-0024

The NPI 1053382648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Urinalysis, manual test (HCPCS:81002)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 1/31/2006 and was last updated on 12/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily7765TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13907983MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
23907988MEDICAIDTENNESSEE
34095318OTHERTENNESSEEBCBS
4P10201MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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