Individual provider Active NPI

Maureen White Brock, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1902907280
Registry record updated May 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN10976 Issued in TN
Practice address
7380 Volkswagen Dr
Chattanooga, TN 37416-1760
Phone
(423) 778-8950
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN10976 TN Primary

Addresses

Primary practice location

7380 Volkswagen Dr
Chattanooga, TN 37416-1760

Mailing address

7380 Volkswagen Dr
Chattanooga, TN 37416-1760
Phone (423) 778-8950

Other identifiers 1

IdentifierTypeStateIssuer
103I509210OtherTNMEDICARE PTAN

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
I20240212000695 TN Practitioner - Nurse Practitioner 2769427772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

7380 Volkswagen Dr
Suite 110
Chattanooga, TN 37416-1761
Phone (423) 778-8950

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10976TNMDPharmacist
APN10976TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Dec 27, 2023 Accepting new patients
Erlanger Health CurrentSince Dec 27, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Orange Grove Center, Inc. Past Accepting new patients
Healthforce Corporation Past Accepting new patients

Locations

7380 Volkswagen Dr
Ste 110
Chattanooga, TN 37416
Phone (423) 778-8950

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: mbrock6431@direct.erlanger.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1902907280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 VOLKSWAGEN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161760",
            "telephone_number": "423-778-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 VOLKSWAGEN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161760",
            "telephone_number": "423-778-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "MAUREEN",
        "middle_name": "WHITE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN10976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103I509210",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.