Individual provider Active NPI

Michelle Filomena Grise, APRN

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1811529118
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27181 Issued in TN
Practice address
1466 Tiny Town Rd
Clarksville, TN 37042-8291
Phone
(931) 503-7093
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27181 TN Primary
Family Nurse Practitioner 363LF0000X 3014373 KY

Addresses

Primary practice location

1466 Tiny Town Rd
Clarksville, TN 37042-8291

Mailing address

30 Burton Hills Blvd Ste 175
Nashville, TN 37215-6403

Other practice location 1

10755 Eagle Way
Hopkinsville, KY 42240-8742
Phone (270) 887-0270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200410001241 TN Practitioner - Nurse Practitioner 5395174429 Reassigns benefits to 2 organizations
I20210712003671 KY Practitioner - Nurse Practitioner 5395174429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

520 W Gum St
Marion, KY 42064-1516
Phone (270) 965-1042

651 Dunlop LN
Clarksville, TN 37040-5015
Phone (931) 502-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3014373KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients
Crittenden County Hospital Current Accepting new patients
Jennie Stuart Medical Center Inc Family Current Accepting new patients
Jennie Stuart Medical Center Inc Acute Care CurrentSince Dec 5, 2022 Accepting new patients
Family Practice Clinic PSC Family Current Accepting new patients
Crittenden Community Hospital LLC CurrentSince Jul 1, 2021 Accepting new patients
Crittenden Community Hospital LLC CurrentSince Jul 1, 2021 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince May 19, 2025 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Feb 25, 2020 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Feb 25, 2020 Accepting new patients
Crittenden Community Hospital LLC Past Accepting new patients
Crittenden Community Hospital LLC Past Accepting new patients

Locations

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

10755 Eagle Way
Ste 100
Hopkinsville, KY 42240
Phone (270) 887-0270

102 W 18th St
Hopkinsville, KY 42240
Phone (270) 707-2100

1466 Tiny Town Rd
Clarksville, TN 37042
Phone (931) 503-7093

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1690 Fort Campbell Blvd
Clarksville, TN 37042
Phone (931) 648-4838

1325 Highway 76
Clarksville, TN 37043
Phone (615) 788-9324

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1811529118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 TINY TOWN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370428291",
            "telephone_number": "931-503-7093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10755 Eagle Way",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408742",
            "country_code": "US",
            "telephone_number": "270-887-0270",
            "fax_number": "270-886-3969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISE",
        "first_name": "MICHELLE",
        "middle_name": "FILOMENA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27181",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.