Markie Brooke Anderson
Individual provider Active NPI Family Nurse Practitioner · Henry, TN
NPI 1326997495 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1326997495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 41167 (TN)
- Practice address
- 9785 Highway 79 S
Henry, TN 38231-3613 - Phone
- (731) 243-1450
- Fax
- (731) 243-1000
- NPI assigned
- Jan 22, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
78 Plantation CV
Mc Kenzie, TN 38201-8598
9785 Hwy 79 S
Henry, TN 38231-3613
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260605002978 | TN | Practitioner - Nurse Practitioner | 1456822824 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waddell Clinic Primary Care & Aesthetics PLLC | Family | Current |
Accepting new patients |
Locations
9785 Highway 79 S
Henry, TN 38231
Phone (731) 243-1450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 41167 | TN | Yes |
Addresses
Primary practice location
9785 Highway 79 S
Henry, TN 38231-3613
Mailing address
9785 Highway 79 S
Henry, TN 38231-3613
Phone (731) 243-1450
NPI Registry JSON
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1326997495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9785 HIGHWAY 79 S",
"city": "HENRY",
"state": "TN",
"postal_code": "382313613",
"telephone_number": "731-243-1450",
"fax_number": "731-243-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9785 HIGHWAY 79 S",
"city": "HENRY",
"state": "TN",
"postal_code": "382313613",
"telephone_number": "731-243-1450",
"fax_number": "731-243-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MARKIE",
"middle_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-22",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "41167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henry, TN
All providers in Henry, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.