MS. HILARY ELLYN CONVERSE NP
NPI 1174942668
Nurse Practitioner in Nashville, TN

Q: What is Hilary Converse's NPI number?

The NPI number for Hilary Converse is 1174942668. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Q: What is Hilary Converse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Hilary Converse was last updated on February 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment

49.44/100

CMS Quality Rating

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 20, 2025, Jul 31, 2024, Jul 19, 2024 and 3 more (6 updates tracked since 2022).

On this page

About Ms. Hilary Ellyn Converse Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. HILARY ELLYN CONVERSE NP (NPI 1174942668) is an individual nurse practitioner in Nashville, Tennessee, licensed in Tennessee (35383) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Scottsdale, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174942668

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. HILARY ELLYN CONVERSECredential: NP

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-5452

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-6842

Phone(615) 322-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 10, 2014

Last NPPES UpdateFebruary 20, 20256 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1174942668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in TN · 35383✔ Licensed in AZ · 258807

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209011440 (IL)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 35383 (TN)

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Open in Google Maps ↗

Secondary Practice Location 1

Location 113400 E Shea BlvdScottsdale, AZ 85259-5452 · Phone (480) 301-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Hilary Ellyn Converse Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820211212

PECOS Enrollment IDI20230911000924, I20240801001869

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

49.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

54.93

Improvement Activities

Cost

14.09

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)