Active NPI
Magdalena Makarucha, NP-C
- Family Nurse Practitioner
- Lebanon, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19059
- Practice address
- 212 Babb Dr Ste B
Lebanon, TN 37087-4885 - Phone
- (615) 449-1459
- Fax
- (615) 453-2833
- NPI assigned
- Aug 26, 2014
- 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 | 19059 | TN | Primary |
Addresses
Primary practice location
212 Babb Dr Ste B
Lebanon, TN 37087-4885
Mailing address
408 42ND Ave N Ste 300
Nashville, TN 37209-3669
Phone (615) 356-4111
Other practice location 1
1639 Medical Center Pkwy
Murfreesboro, TN 37129-2258
Phone (615) 890-5484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q008870 | Medicaid | TN |
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
408 42ND Ave N
Suite 300
Nashville, TN 37209-3669
Phone (615) 356-4111
854 W James Campbell Blvd
Suite 101a
Columbia, TN 38401-4671
Phone (931) 388-3209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| App of Tennessee HM, PLLC | Current | Accepting new patients |
Locations
1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
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.
-
- Nephrology Physician
- Nashville, TN
- NPI 1700878360
-
- Hospitalist Physician
- Shelbyville, TN
- NPI 1396160768
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1952701039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 42ND AVE N STE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372093669",
"telephone_number": "615-356-4111",
"fax_number": "615-356-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 BABB DR STE B",
"city": "LEBANON",
"state": "TN",
"postal_code": "370874885",
"telephone_number": "615-449-1459",
"fax_number": "615-453-2833"
}
],
"practiceLocations": [
{
"address_1": "1639 Medical Center Pkwy",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371292258",
"country_code": "US",
"telephone_number": "615-890-5484",
"fax_number": "615-890-7924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKARUCHA",
"first_name": "MAGDALENA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "19059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q008870",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.