MS. NETTIE SUE HURST (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1689667305

MS. NETTIE SUE HURST (NURSE PRACTITIONER) is a healthcare provider. based in Ridgely, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 0000005051 (TN). The NPI Number for MS. NETTIE SUE HURST (NURSE PRACTITIONER) is 1689667305

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. NETTIE SUE HURST (NURSE PRACTITIONER)
NPI
1689667305
Phone
(731) 264-5518
Address
130 N MAIN ST
Enumeration Date
28 August 2005
Last Update Date
11 August 2014

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7312211804
Graduation Year
2000 (26 years ago)
PAC ID
2860418555
Group Practice PAC ID
6507052073
Professional Enrollment ID
I20051021000415
Address ID
TN380631205RI317XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for MS. NETTIE SUE HURST (NURSE PRACTITIONER)

  • 130, North Main Street, Ridgely, Lake County, Tennessee, 38080, United States

    RIDGELY, TN 380801317

    Phone: (731) 264-5518

    Fax: (731) 264-9859

    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)

CMS reports 24 Open Payments records for all available years, with a total value of $361.

Total Amount is formed as General ($361) + Research ($0) + Ownership ($0) = $361.

Last reported payment date: 2024-09-22 • Largest payer in this snapshot: ABBVIE INC. ($235).

Total Amount

$361

General + Research + Ownership

Payments

24

Total payment records

General Amount

$361

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-22

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: 2005-10-21

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
I20051021000415INurse 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 38080)

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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: 6507052073View full group profile
NameSpecialtyState
-TN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
General SurgeryTN

Reviews

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Frequently asked questions

What is MS. NETTIE SUE HURST (NURSE PRACTITIONER)'s NPI number?
MS. NETTIE SUE HURST (NURSE PRACTITIONER)'s NPI is 1689667305 — the number used across U.S. healthcare to identify this provider.
Is MS. NETTIE SUE HURST (NURSE PRACTITIONER) shown as active in public data?
Registry records indicate MS. NETTIE SUE HURST (NURSE PRACTITIONER) maintains an active NPI.
What expertise is attributed to MS. NETTIE SUE HURST (NURSE PRACTITIONER)?
MS. NETTIE SUE HURST (NURSE PRACTITIONER)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Tennessee is MS. NETTIE SUE HURST (NURSE PRACTITIONER) registered?
Use Ridgely, Tennessee as the headline location for MS. NETTIE SUE HURST (NURSE PRACTITIONER) here.
Does MS. NETTIE SUE HURST (NURSE PRACTITIONER) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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