Individual provider Active NPI

Paul Michael Pristas, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1356068613
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0000032806 Issued in TN
Practice address
1909 Mallory LN Ste 200
Franklin, TN 37067-2842
Phone
(615) 771-1100
NPI assigned
Oct 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000032806 TN Primary

Addresses

Primary practice location

1909 Mallory LN Ste 200
Franklin, TN 37067-2842

Mailing address

106 Founders Pointe Blvd
Franklin, TN 37064-0704
Phone (239) 734-1699

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
I20231229000222 TN Practitioner - Nurse Practitioner 2668822982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cool Springs Psychiatric Group PLCGroup PAC ID 7315330966, 11 clinicians

Practice addresses (Care Compare)

1909 Mallory LN
Suite 200
Franklin, TN 37067-2842
Phone (615) 771-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32806TXMDSpeech-Language Assistant
APN0000032806TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cool Springs Psychiatric Group PLC Psychiatric/Mental Health CurrentSince Oct 10, 2023 Accepting new patients

Locations

1909 Mallory Ln
Ste 200
Franklin, TN 37067
Phone (615) 771-1100

1909 Mallory Ln
Franklin, TN 37067
Phone (615) 771-7718

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": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1356068613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FOUNDERS POINTE BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370640704",
            "telephone_number": "239-734-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN STE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672842",
            "telephone_number": "615-771-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISTAS",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000032806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.