Individual provider Active NPI

Raghib Dennis, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1417518077
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26056 Issued in TN
Practice address
3789 Covington Pike
Memphis, TN 38135-2279
Phone
(901) 372-3200
Fax
(901) 388-9501
NPI assigned
Jun 25, 2019
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 26056 TN Primary

Addresses

Primary practice location

3789 Covington Pike
Memphis, TN 38135-2279

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, ME3 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
I20191024002015 TN Practitioner - Nurse Practitioner 0446582480 Reassigns benefits to 2 organizations
I20210819003357 KY Practitioner - Nurse Practitioner 0446582480 Reassigns benefits to 1 organization
I20220920001032 ME Practitioner - Nurse Practitioner 0446582480 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians
Acadia Hospital Corp.Group PAC ID 7719878495, 88 clinicians
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

149 N St
Waterville, ME 04901
Phone (207) 872-1000

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Blue Hill Memorial Hospital CurrentSince Feb 15, 2025 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Feb 15, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Jan 27, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Jan 27, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 1, 2021 Accepting new patients
Bridgton Hospital CurrentSince Jan 27, 2023 Accepting new patients
Rumford Hospital CurrentSince Jan 27, 2023 Accepting new patients
Acadia Hospital Corp CurrentSince Oct 1, 2022 Accepting new patients
Alliance Healthcare Services CurrentSince Jul 23, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 1, 2021 Accepting new patients
The Aroostook Medical Center Current Accepting new patients
Sebasticook Valley Health CurrentSince Oct 23, 2022 Accepting new patients
Sebasticook Valley Health CurrentSince Oct 23, 2022 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Aug 11, 2021 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 31, 2022 Accepting new patients
Bridgton Hospital CurrentSince Jan 27, 2023 Accepting new patients
MRH Corp. CurrentSince Feb 15, 2025 Accepting new patients
MRH Corp. CurrentSince Feb 15, 2025 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Feb 15, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 31, 2022 Accepting new patients
Central Maine Medical Center Current Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Feb 15, 2025 Accepting new patients
Alliance Healthcare Services CurrentSince Jul 23, 2019 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Aug 11, 2021 Accepting new patients
The Aroostook Medical Center CurrentSince Feb 13, 2025 Accepting new patients
Rumford Hospital CurrentSince Jan 27, 2023 Accepting new patients

Locations

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

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

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

149 North St
Waterville, ME 04901
Phone (207) 622-1959

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

101 W Broad St
Smithville, TN 37166
Phone (615) 318-1220

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1417518077",
    "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": "3789 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381352279",
            "telephone_number": "901-372-3200",
            "fax_number": "901-388-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "RAGHIB",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "26056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.