Individual provider Active NPI

Janelle Marie Scullark-Morose, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Millington, TN
National Provider Identifier
1356764088
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18343 Issued in TN
Practice address
4772 Navy Rd
Millington, TN 38053-1927
Phone
(901) 333-3333
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3009823 KY
Registered Nurse 163W00000X 153059 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1193539 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18343 TN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024192965 VA

Addresses

Primary practice location

4772 Navy Rd
Millington, TN 38053-1927

Mailing address

PO Box 1803
Cordova, TN 38088-1803

Other practice location 1

312 S 4th St Ste 700
Louisville, KY 40202-3046
Phone (615) 994-1000

Other practice location 2

5511 Virginia Way Ste 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

Other practice location 3

3101 Lee Highway
Bristol, VA 24202-5944
Phone (276) 967-6000

Other practice location 4

3415 Greystone Dr Ste 102A
Austin, TX 78731-2314
Phone (737) 381-1717

Other practice location 5

7501 Fannin St Ste 702
Houston, TX 77054-1938
Phone (615) 994-1000

Other practice location 6

249 Central Park Ave Ste 300-161
Virginia Beach, VA 23462-3099
Phone (757) 785-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140630000715 TN Practitioner - Nurse Practitioner 8820213127 Reassigns benefits to 2 organizations
I20250630002250 TX Practitioner - Nurse Practitioner 8820213127 Reassigns benefits to 1 organization
I20260102002338 VA Practitioner - Nurse Practitioner 8820213127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Addiction Specialists LLCGroup PAC ID 1254709959, 16 clinicians

Practice addresses (Care Compare)

249 Central Park Ave
Suite 300 161
Virginia Beach, VA 23462-3099
Phone (615) 994-1000

3415 Greystone Dr
Suite 102a
Austin, TX 78731-2314
Phone (737) 381-1717

5511 Virginia Way
Suite 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
18343TNMDPsychiatry Physician
1193539TXMDPsychiatric/Mental Health Nurse Practitioner
0024192965VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 2, 2016 Accepting new patients
National Addiction Specialists LLC CurrentSince Sep 26, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 2, 2016 Accepting new patients

Locations

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

5511 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 692-1560

3415 Greystone Dr
Ste 102A
Austin, TX 78731
Phone (737) 381-1717

7501 Fannin St
Ste 304
Houston, TX 77054

7501 Fannin St
Ste 702
Houston, TX 77054
Phone (615) 994-1000

3101 Lee Hwy
Bristol, VA 24202
Phone (276) 967-6000

3046 Carlbrook Rd
South Boston, VA 24592
Phone (434) 476-1427

249 Central Park Ave
Ste 300161
Virginia Beach, VA 23462
Phone (615) 994-1000

Interoperability endpoints

  • Direct secure messaging: janelle.scullark.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 3

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": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1356764088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1803",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380881803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 NAVY RD",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531927",
            "telephone_number": "901-333-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 S 4th St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023046",
            "country_code": "US",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5511 Virginia Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277611",
            "country_code": "US",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Lee Highway",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242025944",
            "country_code": "US",
            "telephone_number": "276-967-6000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415 Greystone Dr Ste 102A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787312314",
            "country_code": "US",
            "telephone_number": "737-381-1717",
            "fax_number": "737-381-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7501 Fannin St Ste 702",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770541938",
            "country_code": "US",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "249 Central Park Ave Ste 300-161",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623099",
            "country_code": "US",
            "telephone_number": "757-785-0500",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCULLARK-MOROSE",
        "first_name": "JANELLE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3009823",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "153059",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1193539",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "18343",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024192965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, TN

Sources for this page

Verify at the official NPI Registry.