Individual provider

Jack Keiser, FNP

Family Nurse Practitioner Medicare enrolled

Jack Keiser, FNP is a Family Nurse Practitioner in Nashville, TN, registered under NPI 1104393651.

Getting there

The practice address on file is 41 PEABODY ST, Nashville, TN 37210. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

41 PEABODY ST, Nashville, TN 37210 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
95018639 CA Family Nurse Practitioner primary
APRN11042755 FL Family Nurse Practitioner
24976 TN Family Nurse Practitioner

Licences are recorded in 3 states: CA, FL, TN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
3577802800

Enrolled in Medicare 4 times, across 4 states:

StateEnrollment IDProvider type
Tennessee I20190305001449 Practitioner - Nurse Practitioner
California I20250822001230 Practitioner - Nurse Practitioner
Texas I20260112001096 Practitioner - Nurse Practitioner
Florida I20260310000029 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 4 separate enrolment records across 4 states (TN, CA, TX, FL). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: California, Florida and Tennessee. The practice address on file is in Nashville, TN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
95018639
Specialty
Family Nurse Practitioner
Verify with the CA board →
FL Florida
Licence
APRN11042755
Specialty
Family Nurse Practitioner
Verify with the FL board →
TN Tennessee practice address
Licence
24976
Specialty
Family Nurse Practitioner
Verify with the TN board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 95018639 CA primary
363LF0000X Family Nurse Practitioner Family APRN11042755 FL
363LF0000X Family Nurse Practitioner Family 24976 TN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104393651 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 1, 2018
Last updatedApr 16, 2026
StatusActive
Sole proprietorNo
CredentialFNP
Practice address 41 PEABODY ST
Nashville, TN 37210
(615) 420-7515
Fax (615) 420-7515
Mailing address 9300 ARROWHEAD CT
Brentwood, TN 37027
This record was updated on Apr 16, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1104393651 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 3 9 3 6 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 6 9 6 6 1

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104393651?
NPI 1104393651 is the National Provider Identifier assigned to Jack Keiser, FNP in Nashville, TN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Jack Keiser, FNP?
The phone number on file with NPPES is (615) 420-7515, last updated Apr 16, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jack Keiser, FNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104393651 a valid number?
Yes. 1104393651 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.