Individual provider Active NPI

Nathan Marks

  • Family Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1144090283
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35476 Issued in TN
Practice address
706 Cadet CT
Lebanon, TN 37087-2649
Phone
(615) 449-2472
NPI assigned
Jan 8, 2024
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 35476 TN Primary

Addresses

Primary practice location

706 Cadet CT
Lebanon, TN 37087-2649

Mailing address

706 Cadet CT
Lebanon, TN 37087-2649

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
I20240625001117 TN Practitioner - Nurse Practitioner 8426591959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert J JantzGroup PAC ID 4688614803, 3 clinicians

Practice addresses (Care Compare)

706 Cadet CT
Lebanon, TN 37087-2649
Phone (615) 449-2472

706 Cadet CT
Lebanon, TN 37087-2651

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Medical Group, PLLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Robert J Jantz Single Specialty CurrentSince Aug 24, 2024 Accepting new patients
West Wilson Family Practice Center, P.C. Single Specialty CurrentSince Apr 12, 2024 Accepting new patients

Locations

706 Cadet Ct
Lebanon, TN 37087
Phone (615) 206-9111

3500 N Mount Juliet Rd
Ste 201
Mt Juliet, TN 37122
Phone (615) 758-5672

491 Sage Rd N
Ste 200
White House, TN 37188
Phone (615) 581-5925

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1478
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBDHDD/Endpoint/BBDHDD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1144090283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 CADET CT",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 CADET CT",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872649",
            "telephone_number": "615-449-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "NATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.