Individual provider Active NPI

Stephanie Rogers, FNP-BC, APN

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1114476843
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21779 Issued in TN
Practice address
4432 Veterans Pkwy
Murfreesboro, TN 37128-3977
Phone
(269) 313-3596
NPI assigned
Sep 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21779 TN Primary

Addresses

Primary practice location

4432 Veterans Pkwy
Murfreesboro, TN 37128-3977

Mailing address

207 National Dr
Apt 95
Murfreesboro, TN 37128-6860
Phone (269) 313-3596

Other names 1

  • Stephanie Hummel Former name

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
I20170424001685 TN Practitioner - Nurse Practitioner 6204116189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

463 Sam Ridley Pkwy W
Smyrna, TN 37167-5626
Phone (615) 768-4258

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Family CurrentSince Apr 21, 2017 Accepting new patients

Locations

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

4432 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 648-8501

463 W Sam Ridley Pkwy
Smyrna, TN 37167
Phone (615) 355-6620

Organizations & group practices 1

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1114476843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 NATIONAL DR",
            "address_2": "APT 95",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286860",
            "telephone_number": "269-313-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 VETERANS PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371283977",
            "telephone_number": "269-313-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "STEPHANIE",
        "credential": "FNP-BC, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HUMMEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.