Active NPI
Maureen White Brock, FNP-C
- Family Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN10976
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I509210 | Other | TN | MEDICARE 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
Enrollment records 1
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
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 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10976 | TN | MD | Pharmacist |
| APN10976 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erlanger Health | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1477256303
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
-
- Family Medicine Physician
- Hixson, TN
- NPI 1205882529
-
- Adult Medicine Physician
- Chattanooga, TN
- NPI 1073668653
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; 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.