Individual provider Active NPI

Marisa S Hughey, NP

  • Adult Health Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1891701017
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
8343 Issued in TN
Practice address
9019 Overlook Blvd Ste C1B
Brentwood, TN 37027-2737
Phone
(615) 274-9767
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 137399 TN
Adult Health Nurse Practitioner 363LA2200X 8343 TN Primary

Addresses

Primary practice location

9019 Overlook Blvd Ste C1B
Brentwood, TN 37027-2737

Mailing address

845 Jack Rudolph LN
Hurricane Mills, TN 37078-2230
Phone (615) 483-3927

Other identifiers 1

IdentifierTypeStateIssuer
1506648MedicaidTN

Other names 1

  • Marisa Summer Irwin Former name

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
I20070216000682 TN Practitioner - Nurse Practitioner 7719089077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iris Medical GroupGroup PAC ID 0648653360, 82 clinicians

Practice addresses (Care Compare)

9019 Overlook Blvd
Suite C1B
Brentwood, TN 37027-2737
Phone (615) 274-9767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8343TNMDMental Health Counselor
137399TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Medical Group Nurse Practitioner CurrentSince Apr 7, 2024 Accepting new patients
Allergy Associates, P.a. Past Accepting new patients
Iris Wound Care, PC Nurse Practitioner Past Accepting new patients

Locations

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: marisa.hughey.1@30029.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1891701017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 JACK RUDOLPH LN",
            "city": "HURRICANE MILLS",
            "state": "TN",
            "postal_code": "370782230",
            "telephone_number": "615-483-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 OVERLOOK BLVD STE C1B",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272737",
            "telephone_number": "615-274-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHEY",
        "first_name": "MARISA",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "137399",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "8343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506648",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "IRWIN",
            "middle_name": "SUMMER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.