Active NPI
Paula Rene Gugert, DNP
- Acute Care Nurse Practitioner
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 874413
- Practice address
- 300 S Walnut Bend Rd Ste 12
Cordova, TN 38018-7527 - Phone
- (901) 767-0101
- NPI assigned
- Dec 20, 2023
- Last updated
- Dec 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 35377 | TN | |
| Acute Care Nurse Practitioner | 363LA2100X | 874413 | MS | Primary |
Addresses
Primary practice location
300 S Walnut Bend Rd Ste 12
Cordova, TN 38018-7527
Mailing address
7105 Swinnea Rd Ste 1
Southaven, MS 38671-6012
Phone (901) 767-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 S Walnut Bend Rd
Suite 12
Cordova, TN 38018-7527
Phone (901) 767-0101
7620 Clarington Cove
Southaven, MS 38671-4739
Phone (901) 767-0101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 874413 | MS | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mittal Kidney and Dialysis PC | Current | Accepting new patients | |
| Mittal Kidney and Dialysis | Past | Accepting new patients | |
| Memphis Neurology PLLC | Past | Accepting new patients |
Locations
7684 Airways Blvd
Southaven, MS 38671
Phone (901) 405-0275
7620 Clarington Cv
Southaven, MS 38671
Phone (901) 767-0101
7105 Swinnea Rd
Ste 1
Southaven, MS 38671
300 S Walnut Bend Rd
Ste 12
Cordova, TN 38018
Phone (901) 767-0101
Interoperability endpoints
- pgugert67897@mlh.direct-ci.com
- https://fhir4.healow.com/fhir/r4/GCFDAA
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73850
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Germantown, TN
- NPI 1700943172
-
- Adult Health Clinical Nurse Specialist
- Cordova, TN
- NPI 1750835724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1407625338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7105 SWINNEA RD STE 1",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386716012",
"telephone_number": "901-767-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S WALNUT BEND RD STE 12",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187527",
"telephone_number": "901-767-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGERT",
"first_name": "PAULA",
"middle_name": "RENE",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-20",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "35377",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MS",
"license": "874413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.