Mary Jane Allen, MSN, APRN, BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN0000006880 Issued in TN

Practice address

3150 Lenox Park Blvd
Suite 214
Memphis, TN 38115-4299

Phone

(901) 273-2368

Fax

(901) 273-2351

NPI assigned

Jan 17, 2006

Last updated

Oct 29, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

67.85 of 100Reported as group

Quality

49.03

Improvement activities

20

Cost

77.47

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mid South Psych Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolivar, TN
  • NPI 1558856609
  Medicare reassignment NPD Authorized official
• Memphis Psychiatric and Addiction Clinic, PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Memphis, TN
  • NPI 1235187949
  NPD (past)
• Mental Health Centers & Clinics of Tennessee

  dba Quinco Mental Health Center

  • Mental Health Counselor
  • Bolivar, TN
  • NPI 1255442794
  NPD (past)
• Psycare LLC

  • Psychologist
  • Memphis, TN
  • NPI 1851870778
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1841270972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 LENOX PARK BLVD",
            "address_2": "SUITE 214",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154299",
            "telephone_number": "901-273-2368",
            "fax_number": "901-273-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 LENOX PARK BLVD",
            "address_2": "SUITE 214",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154299",
            "telephone_number": "901-273-2368",
            "fax_number": "901-273-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "MSN, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000006880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3928988",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "4148068",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3928989",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00365538",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Sue Allen, PT
• Kendall Payne Allen, D.D.S.
• Kristin B Allen, APRN
• Lawanda Shaunte' Allen, LMT
• Lee Allen, MD
• Paul Allen
• Quinteena Desha Allen
• Sherry Allen, RN
• Sierra Allen, CGC
• Sydnie Rachel Allen, PH.D, LPC, MHSP

• Psychiatric/Mental Health Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.