MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003629338

MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC) is a healthcare provider. based in Portland, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, PMHNP-BC. They hold a License No. 38052 (TN). The NPI Number for MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC) is 1003629338

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC)
NPI
1003629338
Phone
(770) 778-0747
Address
569 Cook Rd
Enumeration Date
30 January 2025
Last Update Date
26 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6153201155
Graduation Year
2024 (2 years ago)
PAC ID
5890213151
Group Practice PAC ID
5294719795
Professional Enrollment ID
I20250520001806
Address ID
TN370753893HE103XXPATH304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC)

  • 569 Cook Rd

    Portland, TN 371485096

    Phone: (770) 778-0747

    Type: Location

  • 220 ATHENS WAY STE 104

    NASHVILLE, TN 372281351

    Phone: (615) 320-1155

    Fax: (615) 320-1177

    Type: Mailing

  • 109 HAZEL PATH STE 4

    HENDERSONVILLE, TN 370753888

    Phone: (615) 320-1555

    Fax: (615) 320-1177

    Type: Location

  • 103 HAZEL PATH STE 2

    HENDERSONVILLE, TN 370753893

    Phone: (615) 320-1555

    Fax: (615) 320-1177

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250520001806INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37148)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294719795View full group profile
NameSpecialtyState
Clinical PsychologistTN
Mental Health CounselorTN
Mental Health CounselorMA
Nurse PractitionerTN
-TN
P S Y C H I A T R YTN
Clinical Social WorkerFL
Nurse PractitionerTN
Clinical Social WorkerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Does MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC) have a public NPI I can cite?
Public records show MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC) under NPI 1003629338.
Does the public listing show MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC) as active?
MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC)'s NPI record reflects an active status in NPPES.
What services align with MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC)'s listing?
MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC)?
The directory associates MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC) with Portland, Tennessee. Check all listed addresses for suites or satellite offices.
Can I export MS. ALISSA KAYE MARSHALL (MSN, PMHNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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