Individual provider Active NPI

McClain Elise Maiolo, FNP

  • Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1851951297
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN26036 Issued in TN
Practice address
166 E Main St # a
Hendersonville, TN 37075-2520
Phone
(615) 822-3000
Fax
(615) 348-0109
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN26036 TN Primary

Addresses

Primary practice location

166 E Main St # a
Hendersonville, TN 37075-2520

Mailing address

168 W Regent Dr
Clarksville, TN 37043-5476

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 615-822-0073 Other Geriatric Consulting Group PC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190730003534 TN Practitioner - Nurse Practitioner 6709112675

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
Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians

Practice addresses (Care Compare)

482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN26036TNMDNurse Practitioner

Organizations & group practices 1

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1851951297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W REGENT DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E MAIN ST # A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752520",
            "telephone_number": "615-822-3000",
            "fax_number": "615-348-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIOLO",
        "first_name": "MCCLAIN",
        "middle_name": "ELISE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN26036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "615-822-0073",
            "affiliation": "Y",
            "endpointDescription": "FAX",
            "affiliationName": "Geriatric Consulting Group PC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FAX",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FAX",
            "address_1": "166 E Main St # A",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370752520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.