THE UNIVERSITY OF MEMPHIS
NPI 1891515995
Nurse Practitioner in Memphis, TN

Q: What is The University Of Memphis's NPI number?

The NPI number for The University Of Memphis is 1891515995. It was assigned to this organization in the NPPES registry on October 14, 2024. The provider is doing business as Memphis Community Health Clinic.

Q: What is The University Of Memphis's specialty?

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

Active since October 14, 2024

4055 N PARK LOOP STE 1500, MEMPHIS, TN 38152(901) 678-2003 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About The University Of Memphis NPPES

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

THE UNIVERSITY OF MEMPHIS (NPI 1891515995), doing business as Memphis Community Health Clinic, is a healthcare organization registered as a nurse practitioner in Memphis, Tennessee and active in the NPI registry since October 2024. The organization lists Bradley R Harrell, Assistant Dean, as its authorized official.

NPPES Registry Identity

NPI1891515995

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameTHE UNIVERSITY OF MEMPHIS

Location Address4055 N PARK LOOP STE 1500Memphis, TN 38152-4220

Mailing Address4055 N Park Loop Ste 2502Memphis, TN 38152-4220 · (901) 678-2003

Phone(901) 678-2003

Organization SubpartYes

Authorized OfficialBradley R HarrellAssistant Dean · (901) 678-2003

Enumeration DateOctober 14, 2024

Last NPPES UpdateFebruary 12, 2025

NPPES CertifiedFebruary 12, 2025

✔ NPI 1891515995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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 ListedRegistered NurseTaxonomy 163W00000X

Also ListedNursing CareTaxonomy 251J00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedClinic/Center · ResearchTaxonomy 261QR1100X

Also ListedClinic/Center · Student HealthTaxonomy 261QS1000X

4055 N PARK LOOP STE 1500, Memphis, TN 38152

Open in Google Maps ↗

Other Names 1

Doing Business AsMemphis Community Health Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The University Of Memphis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The University Of Memphis, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bradley Harrell, DNP, APRN, ACNP-BC

Nurse Practitioner

NPI 1710204128

202 TUCKER AVE
Ripley, TN 38063

(731) 635-4741

✔ PECOS49 mi

Source: 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 The University Of Memphis's NPI number?

The NPI number for The University Of Memphis is 1891515995. It was assigned to this organization in the NPPES registry on October 14, 2024. The provider is doing business as Memphis Community Health Clinic.

Where is The University Of Memphis located?

The University Of Memphis is located at 4055 N Park Loop Ste 1500, Memphis, TN 38152. The listed phone number is (901) 678-2003.

What is The University Of Memphis's specialty?

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

Is The University Of Memphis enrolled in Medicare?

Yes. The University Of Memphis is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The University Of Memphis?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to The University Of Memphis. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The University Of Memphis was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.