Meghan Robertson
Individual provider Active NPI Primary Care Nurse Practitioner · Nashville, TN
NPI 1639854136 · NPPES record last updated Sep 19, 2023
Key facts
- NPI
- 1639854136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 34297 (TN)
- Practice address
- 1305 3Rd Ave N Apt 335
Nashville, TN 37208-2897 - Phone
- (716) 512-9293
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Complexcare Medical Group Mid-Atlantic H PLLC
Practice addresses (Care Compare)
250 Arrowood Dr
Clarksville, TN 37042-5186
Phone (931) 245-4700
Hospital & facility affiliations
- Jennie Stuart Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231019003419 | TN | Practitioner - Nurse Practitioner | 7315393873 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199473 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current |
Accepting new patients | |
| Complexcare Medical Group Mid-Atlantic H PLLC | Current |
Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530
5081 Easley Ave
Millington, TN 38053
Phone (901) 873-3290
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 199473 | TN | |
| Primary Care Nurse Practitioner | 363LP2300X | 34297 | TN | Yes |
Addresses
Primary practice location
1305 3Rd Ave N Apt 335
Nashville, TN 37208-2897
Mailing address
1305 3Rd Ave N Apt 335
Nashville, TN 37208-2897
Phone (716) 512-9293
Other providers in Nashville, TN
- Jason Robertson
- Kristin Robertson
- Laura Katherine Robertson
- Lynette Robertson
- Lynne F Robertson
- Rose Marie Robertson
- Ryan F.P. Robertson
- Stacy N Robertson
- Steven Lindsey Robertson
- William Forrest Robertson Jr.
All providers in Nashville, TN · Primary Care Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.