Individual provider Active NPI

Marie Raedisch, NP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1992145049
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000017731 Issued in TN
Practice address
6802 Lee Hwy
Chattanooga, TN 37421-2444
Phone
(866) 389-2727
NPI assigned
Jul 2, 2013
Last updated
Jul 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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 APN0000017731 TN Primary

Addresses

Primary practice location

6802 Lee Hwy
Chattanooga, TN 37421-2444

Mailing address

6802 Lee Hwy
Chattanooga, TN 37421-2444

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
I20130826001057 TN Practitioner - Nurse Practitioner 7214170091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Tennessee PCGroup PAC ID 2961428990, 82 clinicians

Practice addresses (Care Compare)

1200 Gallatin Pike S
Madison, TN 37115-4613
Phone (866) 389-2727

1301 Dorchester Rd
Suite 117
Chattanooga, TN 37405-4432
Phone (800) 389-2727

2424 N Ocoee St
Cleveland, TN 37311-3854
Phone (866) 389-2727

6802 Lee Hwy
Chattanooga, TN 37421-2444
Phone (866) 389-2727

796 Ridgeway Ave
Signal Mountain, TN 37377-3067
Phone (866) 389-2727

8034 E Brainerd Rd
Chattanooga, TN 37421-3205
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
83.39
Improvement activities
40
Cost
80.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000017731TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince Aug 5, 2013 Accepting new patients
Minuteclinic Primary Care Tennessee PLLC Family CurrentSince Jun 4, 2025 Accepting new patients

Locations

6802 Lee Hwy
Chattanooga, TN 37421
Phone (423) 894-3836

8034 E Brainerd Rd
Chattanooga, TN 37421
Phone (423) 894-3836

6005 Kingston Pike
Knoxville, TN 37919
Phone (865) 389-2727

1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1992145049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212444",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAEDISCH",
        "first_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000017731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.