| Lisa Nazarenus, APN | |
|
307 S Broadway, Portland, TN 37148 | |
| (615) 325-6755 | |
| (615) 325-6936 |
| Full Name | Lisa Nazarenus |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 307 S Broadway, Portland, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225200306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN0000013230 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nhc Homecare Springfield | Springfield, TN | Home health agency |
| Tristar Hendersonville Medical Center | Hendersonville, TN | Hospital |
| Sumner Regional Medical Center | Gallatin, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portland Medical | 0840677316 | 3 |
| Entity Name | Sumner Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720572209 PECOS PAC ID: 8820283260 Enrollment ID: O20101112000475 |
| Entity Name | Portland Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679230510 PECOS PAC ID: 0840677316 Enrollment ID: O20220523001412 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Nazarenus, APN 307 S Broadway, Portland, TN 37148 Ph: (615) 325-6755 | Lisa Nazarenus, APN 307 S Broadway, Portland, TN 37148 Ph: (615) 325-6755 |
Dr. Shelby Harpel, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-802-1087 Fax: 615-802-1088 | |
Tasha Ruffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Highland Circle Dr, Portland, TN 37148 Phone: 615-325-9263 | |
Ms. Brandy Nicole Carson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Reed St, Portland, TN 37148 Phone: 615-525-8792 | |
Natalie Elizabeth Brown, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Highway 52 W, Portland, TN 37148 Phone: 615-802-1087 | |
Randy Tidwell, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 N Broadway, Portland, TN 37148 Phone: 615-323-1020 Fax: 615-323-1021 | |
Madeline Mccleary Gillon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Highland Dr, Portland, TN 37148 Phone: 615-325-9263 |