Patrice Vivienne Henry, APRN - Medicare Nurse Practitioner in Soddy Daisy, TN

Patrice Vivienne Henry, APRN is a medicare enrolled "Nurse Practitioner - Family" in Soddy Daisy, Tennessee. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Orange Grove Center Inc and her current practice location is 210 Walmart Dr, Soddy Daisy, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 332-6155.

Patrice Vivienne Henry is licensed to practice in Tennessee (license number APN0000024554) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063989150.

Contact Information

Patrice Vivienne Henry, APRN
210 Walmart Dr,
Soddy Daisy, TN 37379-5022
(423) 332-6155
(423) 332-5293

Map and Direction




Provider's Profile

Full NamePatrice Vivienne Henry
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location210 Walmart Dr, Soddy Daisy, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Patrice Vivienne Henry graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1063989150
  • Provider Enumeration Date: 10/27/2018
  • Last Update Date: 01/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6608116512
  • Enrollment ID: I20190312002698

Medical Identifiers

Medical identifiers for Patrice Vivienne Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063989150NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APN0000024554 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Healthcare System, IncChattanooga, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orange Grove Center Inc18502991242

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Patrice Vivienne Henry allows following entities to bill medicare on her behalf.
Entity NameOrange Grove Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073668653
PECOS PAC ID: 1850299124
Enrollment ID: O20031223000480
Entity NameMemorial Health Partners Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922053545
PECOS PAC ID: 8022919570
Enrollment ID: O20040116000823
Entity NameCrossroads Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366644361
PECOS PAC ID: 8325117484
Enrollment ID: O20080515000672

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patrice Vivienne Henry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patrice Vivienne Henry, APRN
30 Burton Hills Blvd, Ste 175,
Nashville, TN 37215-6403

Ph: (615) 988-2014
Patrice Vivienne Henry, APRN
210 Walmart Dr,
Soddy Daisy, TN 37379-5022

Ph: (423) 332-6155

Reviews and Comments


Nurse Practitioner Nurses in Soddy Daisy, TN

Mr. Brandon Edmondson, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2027 Ell Rd, Soddy Daisy, TN 37379
Phone: 423-605-9512    
Abbey Roe Elverd, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379
Phone: 423-332-6155    Fax: 423-332-5293
Mrs. Lilly Esther Fotiadis, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9826 Hixson Pike, Soddy Daisy, TN 37379
Phone: 423-847-6451    
Angela Fuller,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1923 Port Royal Dr, Soddy Daisy, TN 37379
Phone: 423-602-1544    
Mr. Michael L Ascough, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9389 Dayton Pike, Soddy Daisy, TN 37379
Phone: 225-757-1023    
Mrs. Amy Katherine Farlett, FNPC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379
Phone: 423-332-6155    Fax: 423-332-5293

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.