Individual provider Active NPI

Clarissa Ann Mashchak, M.D.

  • Gynecology Physician
  • Ooltewah, TN
National Provider Identifier
1245202183
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD0000018459 Issued in TN
Practice address
4884 Sunkist Ter
Ooltewah, TN 37363-6851
Phone
(423) 774-8281
NPI assigned
Feb 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X MD0000018459 TN
Gynecology Physician 207VG0400X MD0000018459 TN Primary

Addresses

Primary practice location

4884 Sunkist Ter
Ooltewah, TN 37363-6851

Mailing address

4884 Sunkist Ter
Ooltewah, TN 37363-6851
Phone (423) 774-8281

Other identifiers 2

IdentifierTypeStateIssuer
3032078MedicaidTN
4270474OtherBLUE CROSS BLUE SHIELD TN

Other names 1

  • Dr. C. Ann Mashchak Professional 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006000941 TN Practitioner - Obstetrics/Gynecology 1052336278 Practice locations: Ooltewah, TN

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000018459TNMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Current Accepting new patients
C. Ann Mashchak, M.D. PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cannmashchak@tnmhpf.allscriptsdirect.net

Organizations & group practices 2

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": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1245202183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4884 SUNKIST TER",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636851",
            "telephone_number": "423-774-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4884 SUNKIST TER",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636851",
            "telephone_number": "423-774-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHCHAK",
        "first_name": "CLARISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-04",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TN",
            "license": "MD0000018459",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "MD0000018459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3032078",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4270474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "MASHCHAK",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.