Individual provider Active NPI

Mendy A Hicks, NP-C

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1205180585
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17178 Issued in TN
Practice address
3325 Shores Rd
Murfreesboro, TN 37128-3616
Phone
(615) 867-8010
Fax
(615) 439-2256
NPI assigned
Nov 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 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 17178 TN Primary

Addresses

Primary practice location

3325 Shores Rd
Murfreesboro, TN 37128-3616

Mailing address

1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 867-8010

Other practice location 1

5801 Crossings Blvd
Antioch, TN 37013-3130
Phone (615) 941-8501

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
I20140325000715 TN Practitioner - Nurse Practitioner 3678704285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murfreesboro Medical Clinic, P.a.Group PAC ID 4789589227, 176 clinicians

Practice addresses (Care Compare)

1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 867-7925

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as apm
Quality
79.78
Promoting interoperability
93.11
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles R Tessier DO PC CurrentSince Aug 4, 2014 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients
Moore Family Medical PLC Family PastSince Aug 1, 2012 Accepting new patients

Locations

115 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 439-6165

1346 Dow St
Murfreesboro, TN 37130
Phone (334) 482-3136

1340 NW Broad St
Murfreesboro, TN 37129
Phone (615) 410-4099

1272 Garrison Dr
Ste 303
Murfreesboro, TN 37129
Phone (615) 849-9358

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

Interoperability endpoints

  • Direct secure messaging: mendyhicks@mmcsc.allscriptsdirect.net

Organizations & group practices 4

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": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1205180585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 GARRISON DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292598",
            "telephone_number": "615-867-8010",
            "fax_number": "615-439-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 SHORES RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371283616",
            "telephone_number": "615-867-8010",
            "fax_number": "615-439-2256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Crossings Blvd",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "TN",
            "postal_code": "370133130",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MENDY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.