MONOGRAM HEALTH PROFESSIONAL SERVICES PC
NPI 1952917122
Internal Medicine - Nephrology in Brentwood, TN
About Monogram Health Professional Services Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONOGRAM HEALTH PROFESSIONAL SERVICES PC (NPI 1952917122) is a healthcare organization registered as a nephrology in Brentwood, Tennessee and active in the NPI registry since September 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Tempe, and lists Shawn Verner, General Counsel And Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Monogram Health Professional Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
67Medicare enrollment records show 67 clinicians reassign Medicare billing to Monogram Health Professional Services PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 67Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2309848
Monogram Health Professional Services, PC · Tempe, AZCertificate of Waiver 03D2314862
Monogram Health, Inc · Tempe, AZFrequently 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 Monogram Health Professional Services PC's NPI number?
The NPI number for Monogram Health Professional Services PC is 1952917122. It was assigned to this organization in the NPPES registry on September 22, 2020.
Where is Monogram Health Professional Services PC located?
Monogram Health Professional Services PC is located at 5410 Maryland Way Ste 400, Brentwood, TN 37027. The listed phone number is (615) 465-8684.
What is Monogram Health Professional Services PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Monogram Health Professional Services PC enrolled in Medicare?
Yes. Monogram Health Professional Services PC is registered in the Medicare PECOS enrollment system.
When is Monogram Health Professional Services PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Monogram Health Professional Services PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 67 clinicians in 11 Medicare specialties reassign their Medicare billing to Monogram Health Professional Services PC. 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 Nurse Practitioner (39), Nephrology (8) and Internal Medicine (6). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Monogram Health Professional Services PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Monogram Health Professional Services PC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Monogram Health Professional Services PC 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 Monogram Health Professional Services PC was last updated on January 29, 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.
# Monogram Health Professional Services Pc · NPI 1952917122
Nephrology organization in Brentwood, Tennessee. Organization record, active in the CMS NPPES registry since September 22, 2020.
## Identity
- **NPI:** 1952917122 (Entity type: Organization)
- **Enumerated:** September 22, 2020
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Shawn Verner, GENERAL COUNSEL AND SECRETARY
## Practice location
- **Address:** 5410 MARYLAND WAY STE 400, Brentwood, TN 37027-8087
- **Phone:** (615) 465-8684 · **Fax:** (629) 240-6003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 67 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (39), Nephrology (8), Internal Medicine (6); 4 practice at this address; [full list](https://npiprofile.com/npi/1952917122/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952917122) · Data from the CMS NPPES public registry.