Gregory Allen Casalenuovo, PHD, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21382 Issued in TN

Practice address

224 Old Mill Rd
Wartburg, TN 37887-4163

Phone

(423) 346-6221

NPI assigned

Aug 25, 2016

Last updated

Aug 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morgan County Health Council IncGroup PAC ID 6800865908, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Morgan County Health Council Inc

  dba Morgan County Medical Center

  • Federally Qualified Health Center (FQHC)
  • Wartburg, TN
  • NPI 1720099419
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1164977674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 DELAWARE AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378303901",
            "telephone_number": "865-805-3978",
            "fax_number": "865-471-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 OLD MILL RD",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874163",
            "telephone_number": "423-346-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASALENUOVO",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PHD, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie G Bradley, L.C.S.W.
• Martha Broaddus, FNP
• Julie H Brown, PHARMD
• Lysamarie Brown
• Rebecca Kelly Cardona, LPC-MHSP, PHD
• James D Chapman, DDS
• Kenneth R Clowers, P.T.
• Dayna Collins, PTA
• Crossroads Care Services LLC
• Amanda Ellen Crouch, PT, DPT

• Family Nurse Practitioner in Wartburg, TN
• Providers in Wartburg, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.

Verify at the official NPI Registry.