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MARY ELIZABETH DEMENT ERTL APRN
NPI 1902502586
Nurse Practitioner - Women's Health in Murfreesboro, TN

Active since February 06, 2023PECOS Enrolled
1840 MEDICAL CENTER PKWY STE 400, MURFREESBORO, TN 37129(615) 467-4644(615) 467-4645 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2025, Apr 5, 2023, Feb 6, 2023 (3 updates tracked since 2023).

About Mary Elizabeth Dement Ertl Aprn NPPES

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

MARY ELIZABETH DEMENT ERTL APRN (NPI 1902502586) is an individual women's health provider in Murfreesboro, Tennessee, licensed in Tennessee (33370) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lascassas.

NPPES Registry Identity

NPI1902502586
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMARY ELIZABETH DEMENT ERTLCredential: APRN
Location Address1840 MEDICAL CENTER PKWY STE 400Murfreesboro, TN 37129-3237
Mailing Address8542 Barlow LnLascassas, TN 37085-4205 · (330) 749-2291
Phone(615) 467-4644
Fax(615) 467-4645
Sole ProprietorYes
Enumeration DateFebruary 6, 2023
Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1902502586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in TN · 33370
1840 MEDICAL CENTER PKWY STE 400, Murfreesboro, TN 37129
Open in Google Maps ↗

Secondary Practice Location 1

Location 18542 Barlow LnLascassas, TN 37085-4205 · Phone (330) 749-2291

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Dement Ertl Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Dement Ertl reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Diagnostic Imaging, PC
36 mi
Internal Medicine
3024 BUSINESS PARK CIR
Goodlettsville, TN 37072
  • Reassigned Medicare billing, Tennessee enrollment
  • 734 clinicians in this Medicare group
NPI 1093741464 (615) 239-2061
Advanced Specialists, PC
36 mi
Internal Medicine
3024 BUSINESS PARK CIR
Goodlettsville, TN 37072
  • Reassigned Medicare billing, Tennessee enrollment
  • 317 clinicians in this Medicare group
NPI 1649133463 (615) 239-2018

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37129 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.

Other Providers at the Same Location NPPES 5

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

DR. VALERIE ROBIN PARKER M.D
Obstetrics & Gynecology
1840 MEDICAL CENTER PKWY STE 400
MURFREESBORO, TN 37129
Rutherford County (706) 787-7445
MARY DUNCAN NP
Nurse Practitioner (Family)
1840 MEDICAL CENTER PKWY STE 400
MURFREESBORO, TN 37129
Rutherford County (615) 467-4644
ELIZABETH GALLAND JACKSON M.D.
Obstetrics & Gynecology
1840 MEDICAL CENTER PKWY STE 400
MURFREESBORO, TN 37129
Rutherford County (615) 467-4644
SAVANNAH MADDOX
Obstetrics & Gynecology
1840 MEDICAL CENTER PKWY STE 400
MURFREESBORO, TN 37129
Rutherford County (615) 467-4644
KRISTIN LEE SALTER M.D.
Obstetrics & Gynecology
1840 MEDICAL CENTER PKWY STE 400
MURFREESBORO, TN 37129
Rutherford County (615) 467-4644

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 Mary Dement Ertl's NPI number?

The NPI number for Mary Dement Ertl is 1902502586. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Where is Mary Dement Ertl located?

Mary Dement Ertl practices at 1840 Medical Center Pkwy Ste 400, Murfreesboro, TN 37129. The listed phone number is (615) 467-4644.

What is Mary Dement Ertl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Mary Dement Ertl enrolled in Medicare?

Yes. Mary Dement Ertl is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Dement Ertl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dement Ertl reassigns Medicare benefits to 2 organizations: Advanced Diagnostic Imaging, PC (Goodlettsville, TN) and Advanced Specialists, PC (Goodlettsville, TN). Each 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 Mary Dement Ertl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Dement Ertl accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Mary Dement Ertl 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.

When was this NPI record last updated?

The NPPES record for Mary Dement Ertl was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.