Individual provider Active NPI

Melissa Monroe, MSN, BSN, APRN, AGNP

  • Adult Health Nurse Practitioner
  • Pulaski, TN
National Provider Identifier
1043676422
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
20881 Issued in TN
Practice address
1119 E College St Ste 3
Pulaski, TN 38478-4564
Phone
(931) 347-9125
Fax
(931) 347-9127
NPI assigned
Jan 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 20881 TN
Adult Health Nurse Practitioner 363LA2200X 20881 TN Primary

Addresses

Primary practice location

1119 E College St Ste 3
Pulaski, TN 38478-4564

Mailing address

600 S James M Campbell Blvd
Columbia, TN 38401-4334
Phone (866) 668-2188

Other practice location 1

529 W Commerce St
Lewisburg, TN 37091-3219
Phone (931) 270-9729

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160309000965 TN Practitioner - Nurse Practitioner 1254637721 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Jul 28, 2018 Accepting new patients
Midwest Home Physicians Inc CurrentSince Apr 15, 2021 Accepting new patients
Hickman Community Health Careservices CurrentSince Jun 26, 2018 Accepting new patients
Saint Thomas Hickman Hospital CurrentSince Jun 26, 2018 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jul 28, 2018 Accepting new patients
Saint Thomas Hickman Hospital Current Accepting new patients
Monroe Ambulatory Care Clinic LLC Current Accepting new patients
Apogee Medical Group Tennessee PC CurrentSince Jan 16, 2023 Accepting new patients
Celebration Family Care PLLC CurrentSince Feb 7, 2016 Accepting new patients

Locations

150 E Swan St
Centerville, TN 37033
Phone (931) 729-3091

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

529 W Commerce St
Lewisburg, TN 37091
Phone (931) 270-9729

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3755/brand/2/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1043676422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S JAMES M CAMPBELL BLVD",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014334",
            "telephone_number": "866-668-2188",
            "fax_number": "888-794-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E COLLEGE ST STE 3",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784564",
            "telephone_number": "931-347-9125",
            "fax_number": "931-347-9127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 W Commerce St",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "TN",
            "postal_code": "370913219",
            "country_code": "US",
            "telephone_number": "931-270-9729",
            "fax_number": "931-270-9926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONROE",
        "first_name": "MELISSA",
        "credential": "MSN, BSN, APRN, AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TN",
            "license": "20881",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "20881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.