RAVEN MYRICK CRNP
NPI 1265902613
Nurse Practitioner - Pediatrics in Memphis, TN
About Raven Myrick Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVEN MYRICK CRNP (NPI 1265902613) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (27638) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raven Myrick Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
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 Raven Myrick's NPI number?
The NPI number for Raven Myrick is 1265902613. It was assigned to this individual provider in the NPPES registry on November 28, 2018.
Where is Raven Myrick located?
Raven Myrick practices at 262 Danny Thomas Pl, Memphis, TN 38105. The listed phone number is (901) 595-3300.
What is Raven Myrick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Raven Myrick enrolled in Medicare?
Yes. Raven Myrick is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Raven Myrick was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Raven Myrick, CRNP · NPI 1265902613
Pediatrics physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since November 28, 2018.
## Identity
- **NPI:** 1265902613 (Entity type: Individual)
- **Enumerated:** November 28, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 27638 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 262 DANNY THOMAS PL, Memphis, TN 38105-3678
- **Phone:** (901) 595-3300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265902613) · Data from the CMS NPPES public registry.