Individual provider Active NPI

Maci Michelle Koehner, APRN

  • Women's Health Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1447967039
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
32840 Issued in TN
Practice address
5651 Frist Blvd
Hermitage, TN 37076-2054
Phone
(615) 886-9730
Fax
(615) 884-6133
NPI assigned
Nov 2, 2022
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 32840 TN Primary
Obstetrics & Gynecology Physician 207V00000X 32840 TN

Addresses

Primary practice location

5651 Frist Blvd
Hermitage, TN 37076-2054

Mailing address

5207A Kentucky Ave
Nashville, TN 37209-2006

Other practice location 1

2201 Murphy Ave
Nashville, TN 37203-1835
Phone (615) 760-5231

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
I20221208003182 TN Practitioner - Nurse Practitioner 7113396466 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32840TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Obstetrics & Gynecology CurrentSince Oct 25, 2022 Accepting new patients
Pediatrix Medical Group of Tennessee, P.C. Obstetrics & Gynecology CurrentSince Nov 1, 2024 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Oct 25, 2022 Accepting new patients
Radiology Alliance PC PastSince Jul 2, 2019 Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

353 New Shackle Island Rd
Ste 221B
Hendersonvlle, TN 37075
Phone (615) 202-5102

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5651 Frist Blvd
Ste 516
Hermitage, TN 37076
Phone (615) 886-9730

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: maci.snodgrasswhnp.p42@direct.mednax.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1447967039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207A KENTUCKY AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372092006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762054",
            "telephone_number": "615-886-9730",
            "fax_number": "615-884-6133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Murphy Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031835",
            "country_code": "US",
            "telephone_number": "615-760-5231",
            "fax_number": "615-760-5486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEHNER",
        "first_name": "MACI",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "32840",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "32840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.