Individual provider Active NPI

Marissa Dawn Monroe, DNP, FNP-BC

  • Acute Care Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1891210738
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
22763 Issued in TN
Practice address
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone
(865) 305-9000
NPI assigned
Aug 11, 2017
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 22763 TN Primary
Critical Care Medicine Nurse Practitioner 363LC0200X 22763 TN

Addresses

Primary practice location

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Mailing address

211 Barberry CT
Maryville, TN 37804-4707
Phone (423) 836-6192

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
I20171109002257 TN Practitioner - Nurse Practitioner 5294091120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1940 Alcoa Hwy
Knoxville, TN 37920-2263
Phone (865) 305-6810

1940 Alcoa Hwy E 260
Knoxville, TN 37920-2263
Phone (865) 524-7471

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22763TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Oct 1, 2017 Accepting new patients
Knoxville Cardiovascular Group PC Current Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc Nurse Practitioner CurrentSince Oct 1, 2017 Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1940 Alcoa Hwy
Ste E260
Knoxville, TN 37920
Phone (865) 305-6955

1940 Alcoa Hwy
Ste E310
Knoxville, TN 37920
Phone (865) 544-4280

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1891210738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BARBERRY CT",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378044707",
            "telephone_number": "423-836-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "MARISSA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "22763",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TN",
            "license": "22763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.