Mary Bedwell, FNP

Key facts

NPI

1497740674

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

6199 (TN)

Practice address

1362 Mississippi Blvd
Memphis, TN 38106-4709

Phone

(901) 515-5700

Fax

(901) 942-2002

NPI assigned

Sep 14, 2005

Sex

Female

Sole proprietor

No

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.

• Shelby County Health Care Corporation Clinic Pharmacy · Memphis, TN · NPI 1629542493
  NPD (past)
• Shelby County Health Care Corporation Anatomic Pathology & Clinical Pathology Physician · Memphis, TN · NPI 1780685750
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497740674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "address_2": "5TH FLOOR ADAMS PAVILION",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "901-515-5700",
            "fax_number": "901-942-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 MISSISSIPPI BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381064709",
            "telephone_number": "901-515-5700",
            "fax_number": "901-942-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDWELL",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "6199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3903771",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

• Heather Noreen Becker, MD
• Penny Beckham, CRNA
• Nathan Beda, MD
• Ali H Bedair, M.D.
• Charles Leon Bedwell Jr., M.D.
• Tasha Bedwell, PHARM.D.
• Tiffany Bee, MD
• Laura Beebe, SLP
• Michael Jason Beebe, M.D.
• Daphne B Beech, FNP

All providers in Memphis, TN · Nurse Practitioner in Tennessee