Marissa Anne Mencio, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

61783 Issued in TN

Practice address

3901 Central Pike Ste 351
Hermitage, TN 37076

Phone

(615) 889-8802

NPI assigned

Apr 8, 2014

Last updated

Jan 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

University of Tennessee, HSC, College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marissa.mencio@ahp.eclinicaldirectplus.com

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.

• Advanced Diagnostic Imaging, PC

  dba AdvancedHealth

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Saint Thomas Medical Partners

  dba Ascension Medical Group Saint Thomas

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669

  Multi-Specialty

  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba Surgery Department of Mount Sinai School of Medicine

  • Surgery Physician
  • New York, NY
  • NPI 1770823551

  Multi-Specialty

  Medicare reassignment NPD
• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD
• Advanced Specialists, PC

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1649133463

  Multi-Specialty

  NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD
• Aspire Audiology & Hearing, LP

  • Audiologist
  • Madison, TN
  • NPI 1033779715

  Multi-Specialty

  NPD (past)
• Winocour Plastic Surgery, PLLC

  • Plastic Surgery Physician
  • Nashville, TN
  • NPI 1972473288
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Tennessee, Inc.

  dba Tristar Summit Medical Center

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  Care Compare affiliation
• Saint Thomas West Hospital

  dba Ascension Saint Thomas Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648
  Care Compare affiliation

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1609295534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE STE 351",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-889-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 S Hartmann Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "37090",
            "country_code": "US",
            "telephone_number": "615-889-8802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Springhouse Ct Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370751610",
            "country_code": "US",
            "telephone_number": "615-889-8802",
            "fax_number": "615-889-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENCIO",
        "first_name": "MARISSA",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "298487-1",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "61783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Group Summit Inc
• Medistaff, LLC (At Home Healthcare of Middle Tennessee)
• Medworx
• Olivia Meers, PA
• Dylan Melgar
• Aiyappan Menon, M.D.
• Megan Merrell, M.S., BCBA
• Kinsey Mertens, PHARMD
• Alvin H. Meyer Jr., M.D.
• Michael Thomas MD PC

• Surgery Physician in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.