Individual provider Active NPI

Melissa Mayse, APN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1366760225
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14912 Issued in TN
Practice address
3950 New Covington Pike Ste 110
Memphis, TN 38128
Phone
(901) 387-2900
Fax
(901) 384-1645
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14912 TN Primary

Addresses

Primary practice location

3950 New Covington Pike Ste 110
Memphis, TN 38128

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other identifiers 2

IdentifierTypeStateIssuer
1521071MedicaidTN
4291586OtherTNBCBS

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
I20100928000501 TN Practitioner - Nurse Practitioner 1658497664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Group, LLCGroup PAC ID 0941480131, 108 clinicians

Practice addresses (Care Compare)

2961 Canada Rd
Suite 105
Lakeland, TN 38002-4893
Phone (901) 388-0115

3950 New Covington Pike
Suite 110
Memphis, TN 38128-2595
Phone (901) 387-2900

Hospital & facility affiliations

  • Beacon Home Health Home health agency, Memphis, TN, CCN 447277
  • Amedisys Home Health Care Home health agency, Cordova, TN, CCN 447451
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14912TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Group LLC Family CurrentSince Jan 1, 2011 Accepting new patients
Whitney Slade MD, LLC Past Accepting new patients

Locations

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

1211 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 287-5182

4901 Raleigh Common Dr
Ste 200
Memphis, TN 38128
Phone (901) 363-3600

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

3950 New Covington Pike
Ste 110
Memphis, TN 38128
Phone (901) 387-2900

Interoperability endpoints

  • Direct secure messaging: mmayse30677@mlh.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1366760225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE STE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38128",
            "telephone_number": "901-387-2900",
            "fax_number": "901-384-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYSE",
        "first_name": "MELISSA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521071",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4291586",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.