Graylin Clare Benusches, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · McMinnville, TN
NPI 1821722968 · NPPES record last updated Jul 14, 2022
Key facts
- NPI
- 1821722968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 31953 (TN)
- Practice address
- 1589 Sparta St Ste 105
McMinnville, TN 37110-1392 - Phone
- (931) 815-3636
- Fax
- (931) 815-3808
- NPI assigned
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
-
William Bradford Brock, M.D.
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 |
|---|---|---|---|---|
| I20230104000792 | TN | Practitioner - Nurse Practitioner | 7012387277 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000229731 | TN | MD | Registered Nurse |
| 31953 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Tennessee LLC | Current |
Accepting new patients | |
| Privia Medical Group Tennessee LLC | Current |
Accepting new patients |
Locations
1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181
1589 Sparta St
Ste 105
McMinnville, TN 37110
Phone (931) 808-2303
Interoperability endpoints
- graylin.benusches.1@25094.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0000229731 | TN | |
| Family Nurse Practitioner | 363LF0000X | 31953 | TN | Yes |
Addresses
Primary practice location
1589 Sparta St Ste 105
McMinnville, TN 37110-1392
Mailing address
14 Dundee Cir
McMinnville, TN 37110-6039
Phone (931) 808-2303
Other providers in McMinnville, TN
- Kaylyn Mackenzie Banks
- Barren Forks Inpatient Services PLLC
- Jennifer Baumgartel
- Amanda Robin Bell
- Melissa Dawn Benson
- John T Beuerlein
- Michelle Black
- Whitney Shea Blankenship
- Blessed Beyond Home Care
- Blooming Minds Counseling LLC
All providers in McMinnville, TN · Family 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 Jul 14, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.