Individual provider Active NPI

Mary K Volner, FNP

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1245232263
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5699 Issued in TN
Practice address
3960 New Covington Pike
Memphis, TN 38128-2504
Phone
(901) 516-5211
NPI assigned
Aug 10, 2005
Last updated
Sep 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5699 TN Primary
Registered Nurse 163W00000X 57022 TN

Addresses

Primary practice location

3960 New Covington Pike
Memphis, TN 38128-2504

Mailing address

5885 Airline Rd Unit 1017
Arlington, TN 38002-5123
Phone (901) 317-7427

Other identifiers 1

IdentifierTypeStateIssuer
3909634MedicaidTN

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
I20050124000642 TN Practitioner - Nurse Practitioner 4082664560 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Methodist North Emergency Physicians, PLLCGroup PAC ID 0941659247, 43 clinicians

Practice addresses (Care Compare)

2747 Kirby Rd
Memphis, TN 38119-8236
Phone (931) 253-1110

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57022TNMDRegistered Nurse
5699TNMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist University Emergency Physicians PLLC CurrentSince Jan 10, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 30, 2023 Accepting new patients
Methodist Healthcare Community Care Associates Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 30, 2023 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Sep 2, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Jan 9, 2024 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Carr PLLC CurrentSince Sep 2, 2017 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Jan 10, 2024 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Sep 2, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jun 16, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Jan 10, 2024 Accepting new patients
T M Carr MD PC Nurse Practitioner CurrentSince Jan 1, 2005 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients

Locations

5885 Airline Rd
Unit 1017
Arlington, TN 38002

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

2747 Kirby Rd
Memphis, TN 38119
Phone (901) 203-0750

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: mvolner31114@mlh.direct-ci.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1245232263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 AIRLINE RD UNIT 1017",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380025123",
            "telephone_number": "901-317-7427",
            "fax_number": "901-317-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282504",
            "telephone_number": "901-516-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLNER",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "5699",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "57022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3909634",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.