MARY RAFAELA MORRISON (PMHNP- BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104296508

MARY RAFAELA MORRISON (PMHNP- BC) is a healthcare provider. based in Memphis, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP- BC. They hold a License No. 35276 (TN). The NPI Number for MARY RAFAELA MORRISON (PMHNP- BC) is 1104296508

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MARY RAFAELA MORRISON (PMHNP- BC)
NPI
1104296508
Phone
(901) 577-9400
Address
951 COURT AVE
Enumeration Date
29 September 2015
Deactivation Date
7 July 2016
Reactivation Date
22 November 2023
Last Update Date
27 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9013535440
Graduation Year
2023 (3 years ago)
PAC ID
7113361361
Group Practice PAC ID
4082766621
Professional Enrollment ID
I20240524002697
Address ID
TN381032813ME951XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

Provider Addresses for MARY RAFAELA MORRISON (PMHNP- BC)

  • 951 COURT AVE

    MEMPHIS, TN 381032813

    Phone: (901) 577-9400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240215003956INurse PractitionerNYTBD
I20240524002697INurse 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 38103)

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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: 4082766621View full group profile
NameSpecialtyState
P S Y C H I A T R YTN
Nurse PractitionerMS
Nurse PractitionerTN
Clinical Social WorkerTN
Nurse PractitionerTN
Nurse PractitionerCA
Mental Health CounselorTN
-TN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What federal number belongs to MARY RAFAELA MORRISON (PMHNP- BC)?
The federal identifier for MARY RAFAELA MORRISON (PMHNP- BC) is NPI 1104296508.
Is MARY RAFAELA MORRISON (PMHNP- BC)'s NPI currently valid?
The extract we use shows MARY RAFAELA MORRISON (PMHNP- BC) as active.
Can you summarize MARY RAFAELA MORRISON (PMHNP- BC)'s specialty in plain language?
Clinically, the directory lists MARY RAFAELA MORRISON (PMHNP- BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MARY RAFAELA MORRISON (PMHNP- BC)'s primary listing?
We display Memphis, Tennessee because that is what the record indicates for MARY RAFAELA MORRISON (PMHNP- BC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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