Individual provider Active NPI

Mary Martin Mogan, APN

  • Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1326420324
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000019556 Issued in TN
Practice address
300 Stonecrest Blvd
Suite 410
Smyrna, TN 37167-5688
Phone
(615) 220-6144
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000019556 TN Primary

Addresses

Primary practice location

300 Stonecrest Blvd
Suite 410
Smyrna, TN 37167-5688

Mailing address

300 Stonecrest Blvd
Suite 410
Smyrna, TN 37167-5688
Phone (615) 220-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MARY.MOGAN@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
56.54
Promoting interoperability
99
Improvement activities
40
Cost
79.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000019556TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Cardiology Consultants, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mary.mogan@hca1.eclinicaldirectplus.com

Organizations & group practices 1

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1326420324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD",
            "address_2": "SUITE 410",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675688",
            "telephone_number": "615-220-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD",
            "address_2": "SUITE 410",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675688",
            "telephone_number": "615-220-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGAN",
        "first_name": "MARY",
        "middle_name": "MARTIN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000019556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MARY.MOGAN@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "300 Stonecrest Blvd",
            "address_2": "SUITE 410",
            "city": "Smyrna",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371675688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.