Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. April R Downing, FNP, APN

Individual provider Family Nurse Practitioner · NPI 1982843231

Mrs. April R Downing, FNP, APN is a Nurse Practitioner in Bells, Tennessee. Qualified in 2008, 18 years ago. Practices with Ultra Health LLC, a 162-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
18
Licensed in
TN
In the registry since
2009
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

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Practice location Address checks out

4128 Old Jackson Rd
Bells, TN 38006-4261
Phone: (731) 393-3500
Fax: (844) 374-0233
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13937 (TN)

Record details

NPI number1982843231
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP , APN
Sole proprietorYes
NPI enumeratedFebruary 10, 2009
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ultra Health Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients453
Services billed 3,983 a service is one billed item, such as a visit, a test or a procedure
Average patient age80

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $365 24 payments · a meal or drink at a meeting or visit, not a fee
Education $111 1 payment · educational material or training, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Ultra Health LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 162 clinicians in the practice; 12 are shown here.

Other providers in Bells