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DR. EDWARD NICHOLAS MISULIS MBBS
NPI 1902396559
Psychiatry & Neurology - Neurology in Nashville, TN

Active since May 18, 2018PECOS EnrolledAccepts Medicare Assignment
1161 21ST AVE S, NASHVILLE, TN 37232(615) 322-0417 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, Dec 30, 2022, Oct 28, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Edward Nicholas Misulis Mbbs NPPES

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

DR. EDWARD NICHOLAS MISULIS MBBS (NPI 1902396559) is an individual neurology provider in Nashville, Tennessee, licensed in Oregon (MD213872) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Citrus Hospital, and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1902396559
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. EDWARD NICHOLAS MISULISCredential: MBBS
Location Address1161 21ST AVE SNashville, TN 37232-0011
Mailing Address1161 21st Ave SNashville, TN 37232-0011 · (615) 322-0417
Phone(615) 322-0417
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 18, 2018
Last NPPES UpdateJune 9, 20235 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1902396559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in OR · MD213872✔ Licensed in FL · ME158259✔ Licensed in ME · MD25620
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1161 21ST AVE S, Nashville, TN 37232
Open in Google Maps ↗

Secondary Practice Location 1

Location 111215 Metro Pkwy Bldg 3Fort Myers, FL 33966-1206 · Phone (239) 208-2212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Buckeye Health Plan, Ambetter from Meridian and more.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

Dr. Edward Nicholas Misulis Mbbs 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 ID8123409125
PECOS Enrollment IDI20220722000342, I20221128001196, I20221129001389, I20230428000180, I20230619001243, I20230619001362, I20231017000277
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
158 services114 patients
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth G0407
A follow-up inpatient consultation is a service where a doctor spends around 25 minutes discussing your health progress via telehealth. This virtual meeting helps track your recovery, manage your treatment plan, and address any concerns you may have. It's a crucial part of your ongoing care.
65 services47 patients
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth G0406
A follow-up inpatient consultation is a brief, 15-minute check-in with your doctor via telehealth. This allows your physician to monitor your progress, address any concerns, and adjust your treatment plan if necessary. It's an essential part of your ongoing care.
22 services21 patients
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth G0407
A follow-up inpatient consultation is a service where a doctor spends around 25 minutes discussing your health progress via telehealth. This virtual meeting helps track your recovery, manage your treatment plan, and address any concerns you may have. It's a crucial part of your ongoing care.
22 services20 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
19 services18 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Citrus Hospital

Acute Care Hospitals · Inverness, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100023
Location502 W Highland BlvdInverness, FL 34452 · Citrus County
Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100049
Location3600 S Highlands AveSebring, FL 33870 · Highlands County
Emergency services

Piedmont Cartersville Medical Center

Acute Care Hospitals · Cartersville, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110030
Location960 Joe Frank Harris ParkwayCartersville, GA 30120 · Bartow County
Emergency services Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
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.

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.

HOLLY VICTORIA CANNON FNP-C
Nurse Practitioner (Family)
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 936-0060
DR. EVAN ZEHR MD
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 322-6943
DR. MEREDITH ANTONETTE MONSOUR MD
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 322-6638
DR. PRIYA CORYN VERBIK MD
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 343-4882
DAVID M ARONOFF MD
Internal Medicine (Infectious Disease)
1161 21ST AVE S, A-2200 MEDICAL CENTER NORTH
NASHVILLE, TN 37232
Davidson County (615) 322-8972
DR. CARI L MOTUZAS M.D.
Radiology (Neuroradiology)
1161 21ST AVE S, CCC-1121 MED CTR N, DEPARTMENT OF RADIOLOGY
NASHVILLE, TN 37232
Davidson County (615) 322-3780
JENNIFER LYNN REEVES AG-ACNP
Psychiatry & Neurology (Neurocritical Care)
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 343-4665
HEBAH AL KHATEEB MD
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 343-4882

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 Edward Misulis's NPI number?

The NPI number for Edward Misulis is 1902396559. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Where is Edward Misulis located?

Edward Misulis practices at 1161 21st Ave S, Nashville, TN 37232. The listed phone number is (615) 322-0417.

What is Edward Misulis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Edward Misulis enrolled in Medicare?

Yes. Edward Misulis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edward Misulis accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter from Superior HealthPlan and 13 other insurers list Edward Misulis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Misulis affiliated with any hospitals?

According to CMS data, Edward Misulis is affiliated with Hca Florida Citrus Hospital, Adventhealth Deland, Hca Florida Highlands Hospital, Piedmont Cartersville Medical Center and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Edward Misulis was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.