Individual provider Active NPI

Lindsey Moretta, RN, BSN, MSN-FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1447806203
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26414 Issued in TN
Practice address
6025 Walnut Grove Rd Ste 627
Memphis, TN 38120-2126
Phone
(901) 767-3321
Fax
(901) 767-3908
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 26414 TN Primary

Addresses

Primary practice location

6025 Walnut Grove Rd Ste 627
Memphis, TN 38120-2126

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

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
I20200304001193 TN Practitioner - Nurse Practitioner 6103253182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Infectious Disease Associates, PLLCGroup PAC ID 0547252124, 12 clinicians

Practice addresses (Care Compare)

6029 Walnut Grove Rd
Suite 209
Memphis, TN 38120-2112
Phone (901) 681-0778

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.59
Promoting interoperability
100
Improvement activities
40
Cost
81.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26414TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Infectious Disease Associates, PLLC CurrentSince Mar 15, 2024 Accepting new patients

Locations

6029 Walnut Grove Rd
Ste 209
Memphis, TN 38120
Phone (901) 681-0778

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.

Hospital & facility affiliations 1

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1447806203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD STE 627",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202126",
            "telephone_number": "901-767-3321",
            "fax_number": "901-767-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETTA",
        "first_name": "LINDSEY",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.