Active NPI
Michael A Rawdon, FNP MSN
- Family Nurse Practitioner
- Monterey, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7888
- Practice address
- 400 W Crawford Ave
Monterey, TN 38574-1166 - Phone
- (931) 839-2224
- Fax
- (931) 839-2530
- NPI assigned
- Oct 4, 2005
- Last updated
- Jul 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7888 | TN | Primary |
Addresses
Primary practice location
400 W Crawford Ave
Monterey, TN 38574-1166
Mailing address
400 W Crawford Ave
Monterey, TN 38574-1166
Phone (931) 839-2224
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3903854 | Medicaid | TN | |
| 4267523 | Other | TN | BCBS |
| 7100155710 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
438 N Whitney Ave
Cookeville, TN 38501-2455
Phone (931) 783-2616
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.99 of 100
- Quality
- 58.34
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 78.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7888 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monterey Medical LLC | Current | Accepting new patients |
Locations
400 W Crawford Ave
Monterey, TN 38574
Phone (931) 839-2224
400 W Crawford Ave
Ste C
Monterey, TN 38574
Phone (931) 839-2224
Interoperability endpoints
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
- michael.rawdon.1@10383.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
-
- Rural Health Clinic/Center
- Monterey, TN
- NPI 1497339790
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
-
dba Cumberland Medical Center
- General Acute Care Hospital
- Crossville, TN
- NPI 1871596403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1013904184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W CRAWFORD AVE",
"city": "MONTEREY",
"state": "TN",
"postal_code": "385741166",
"telephone_number": "931-839-2224",
"fax_number": "931-839-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W CRAWFORD AVE",
"city": "MONTEREY",
"state": "TN",
"postal_code": "385741166",
"telephone_number": "931-839-2224",
"fax_number": "931-839-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWDON",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "FNP MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "7888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3903854",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4267523",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100155710",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, TN
- Michael Leonard Olivier, M.D.
- Kaylee Gale Phillips
- Putnam County Rural Health Clinic
- Putnam County Rural Health Clinic, Inc (Monterey Rural Health Clinic)
- Manish Rana, D.D.S
- Restorative Minds Behavioral Health Services, PLLC
- Mark Anthony Sherfey, MD
- Daniel Evin Simpkins, LCSW
- Daniel Sitton
- Alyssa Smith, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.