Allie Rose Wysong, APRN is a medicare enrolled "Nurse Practitioner - Neonatal" physician in Nashville, Tennessee. Her current practice location is
3601 The Vanderbilt Clinic, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 322-5000.
Allie Rose Wysong is licensed to practice in Tennessee (license number 36023) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255183174.
Physician's Profile
Full Name | Allie Rose Wysong |
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Gender | Female |
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Speciality | Nurse Practitioner - Neonatal |
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Location | 3601 The Vanderbilt Clinic, Nashville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255183174
- Provider Enumeration Date: 04/03/2024
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547601692
- Enrollment ID: I20240507004097
Medical Identifiers
Medical identifiers for Allie Rose Wysong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255183174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 36023 (Tennessee) | Secondary |
363LN0000X | Nurse Practitioner - Neonatal | 36023 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Allie Rose Wysong is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Allie Rose Wysong, APRN 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () - | Allie Rose Wysong, APRN 3601 The Vanderbilt Clinic, Nashville, TN 37232-0005 Ph: (615) 322-5000 |
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