Nadine Kosanovich, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

34627 Issued in TN

Practice address

1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761

Phone

(615) 225-2070

Fax

(615) 962-9047

NPI assigned

Sep 5, 2023

Sex

Female

Sole proprietor

No

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.

• Gateway Healthcare, PC

  • Urgent Care Clinic/Center
  • Murfreesboro, TN
  • NPI 1770035214

  TN

  Medicare reassignment Care Compare group NPD
• Murfreesboro Medical Clinic, P.a.

  • Specialist
  • Murfreesboro, TN
  • NPI 1487604609

  TN

  Medicare reassignment Care Compare group NPD
• Havely Springs Physician Services, PC

  • Hospitalist Physician
  • Murfreesboro, TN
  • NPI 1710494174

  TN

  Medicare reassignment NPD
• Murfreesboro Medical Clinic, P.a.

  • Endoscopy Clinic/Center
  • Murfreesboro, TN
  • NPI 1013782499
  Care Compare group NPD
• Murfreesboro Medical Clinic, P.a.

  • Specialist
  • Murfreesboro, TN
  • NPI 1639299803
  Care Compare group NPD
• Gateway Primary Care LLC

  • Primary Care Clinic/Center
  • Murfreesboro, TN
  • NPI 1912688250
  NPD (past)
• Emedical Group Inc

  • Health Service Clinic/Center
  • Troy, AL
  • NPI 1457644742
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Murfreesboro Medical Clinic, P.a. 176 clinicians

Gateway Healthcare, PC 13 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nadinekosanovich@mmcsc.allscriptsdirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2024.

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1548046709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 TROUT TRL",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 MEDICAL CENTER PKWY STE 104",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293761",
            "telephone_number": "615-225-2070",
            "fax_number": "615-962-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 New Salem Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371287038",
            "country_code": "US",
            "telephone_number": "615-900-1176",
            "fax_number": "615-203-6142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3266 Memorial Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371295484",
            "country_code": "US",
            "telephone_number": "615-900-3515",
            "fax_number": "615-900-3463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2061 Trout Trl",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371294263",
            "country_code": "US",
            "telephone_number": "920-285-0439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5607 Franklin Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371283547",
            "country_code": "US",
            "telephone_number": "615-962-7727",
            "fax_number": "615-962-7729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSANOVICH",
        "first_name": "NADINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tejasvi Kommula, M.D.
• Prasad V Kondapavuluru, MD
• Laura D Koonce, PHARMD.
• Donald Christopher Koons, MD
• Ronda J. Kopra, PA-C, M.S.M.
• Regan Maris Kounlavong, MA, LPC-MHSP
• Stephen Paul Kovnesky, CMSW
• Dannilyn Marie Kraft, FNP-BC
• Linda Krantz
• Jessica Krepp

• All providers in Murfreesboro, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.

Verify at the official NPI Registry.