NURSE PRACTITIONER
NPI 1255801486
Nurse Practitioner in Arden, NC
About Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NURSE PRACTITIONER (NPI 1255801486) is a healthcare organization registered as a nurse practitioner in Arden, North Carolina and active in the NPI registry since November 2018. The organization maintains 45 additional practice locations and lists Marilyn Tatham, Provider Enrollment Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 45
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
822Medicare enrollment records show 822 clinicians reassign Medicare billing to Nurse Practitioner, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 392 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 42
Nearest to this location (20)
See all 822Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mission Community Anesthesiology Specialists LLC's NPI number?
The NPI number for Mission Community Anesthesiology Specialists LLC is 1255801486. It was assigned to this organization in the NPPES registry on November 30, 2018. The provider is also known as Nurse Practitioner.
Where is Mission Community Anesthesiology Specialists LLC located?
Mission Community Anesthesiology Specialists LLC is located at 310 Long Shoals Rd Ste 110, Arden, NC 28704. The listed phone number is (828) 213-1740.
What is Mission Community Anesthesiology Specialists LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mission Community Anesthesiology Specialists LLC enrolled in Medicare?
Yes. Mission Community Anesthesiology Specialists LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mission Community Anesthesiology Specialists LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 822 clinicians in 42 Medicare specialties reassign their Medicare billing to Mission Community Anesthesiology Specialists LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (198), Nurse Practitioner (133) and Anesthesiology (99). Of these, 8 practice at this address and 392 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mission Community Anesthesiology Specialists LLC was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nurse Practitioner · NPI 1255801486
Nurse Practitioner organization in Arden, North Carolina. Organization record, active in the CMS NPPES registry since November 30, 2018.
## Identity
- **NPI:** 1255801486 (Entity type: Organization)
- **Enumerated:** November 30, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Legal business name:** Mission Community Anesthesiology Specialists Llc
- **Organization subpart:** Yes (part of Mission Community Anesthesiology Specialists Llc)
- **Authorized official:** Marilyn Tatham, PROVIDER ENROLLMENT MANAGER
## Practice location
- **Address:** 310 LONG SHOALS RD STE 110, Arden, NC 28704-8794
- **Phone:** (828) 213-1740
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 822 clinicians in 42 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (198), Nurse Practitioner (133), Anesthesiology (99); 8 practice at this address and 392 within 10 miles; [full list](https://npiprofile.com/npi/1255801486/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2018
- **Other identifiers:** Other 02CG9 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1255801486) · Data from the CMS NPPES public registry.