SELENA SRISOURATH
NPI 1083418032
Nurse Practitioner - Family in Hermitage, TN
NPI Status: Active since April 01, 2025
Contact Information
3901 CENTRAL PIKE STE 351
HERMITAGE, TN
ZIP 37076
Phone: (615) 889-8802
- Individual
- Female
- Years of Experience 2
- Nurse Practitioner
- Family
- May Accept Medicare Approved Payment
- PECOS Enrolled
About SELENA SRISOURATH
This page provides the complete NPI Profile along with additional information for Selena Srisourath, a provider established in Hermitage, Tennessee with a medical specialization in Nurse Practitioner, focusing in family and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1083418032 assigned on April 2025. The practitioner's primary taxonomy code is 363LF0000X with license number 38212 (TN). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1083418032
- Provider Name
- SELENA SRISOURATH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076
- Location Phone
- (615) 889-8802
- Mailing Address
- 3024 BUSINESS PARK CIR GOODLETTSVILLE, TN 37072
- Mailing Phone
- (615) 239-2018
- Medical School Name
- OTHER
- Graduation Year
- 2024
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2025
- Last Update Date
- 04-17-2025
- Code Navigator
A nurse practitioner (NP) like Selena Srisourath is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 4230 Harding Pike Ste 400
Nashville, TN 37205
(615) 386-9089 - 920 S Hartmann Dr Ste 100
Lebanon, TN 37090
(615) 889-8802
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 38212
- License State
- TN
Medicare Participation & PECOS Enrollment Status
Selena Srisourath is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Selena Srisourath is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3870018948
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250422001137
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 37076 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.53
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $20.38
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 8 | 3 | 4 | 1 | 8 | 0 | 3 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 16 | 3 | 8 | 1 | 16 | 0 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 1 + 6 + 3 + 8 + 1 + 1 + 6 + 0 + 6 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1083418032 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1740956580 | MATTHEW LYON Individual | Hearing Instrument Specialist | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-4105 |
1134163694 | DR. GRADY LEE BRYANT JR. M.D. Individual | Otolaryngology | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
1194391607 | KELLY STRIMAITIS Individual | Nurse Practitioner (Family) | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
1245274778 | DR. DAVID SCOTT FORTUNE M.D. Individual | Otolaryngology | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
1528401676 | AMIT SHARAD PATEL M.D. Individual | Otolaryngology | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
1609295534 | MARISSA ANNE MENCIO M.D. Individual | Surgery | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
1750640512 | ROBERT W FRANK M.D. Individual | Otolaryngology | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
1912481870 | MRS. KENDALL ELIZABETH BUSH PA-C Individual | General Practice | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
1952817835 | RACHEL CHAMBERLIN PA-C Individual | Physician Assistant | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
1750075610 | HANNAH KAY HAYS AU.D. Individual | Audiologist | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 948-7603 |
1861258899 | KAITLYNN HAFELI Individual | Physician Assistant | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
1588403281 | MADISON MCKENZIE TAYLOR Individual | Nurse Practitioner (Family) | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
1720077761 | DR. JUSTIN E MORGAN MD Individual | Otolaryngology | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
1437906831 | HUBERT ZAJAC DPT Individual | Physical Therapist | 3901 CENTRAL PIKE STE 351 HERMITAGE, TN 37076 (615) 889-8802 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083418032, enumerated in the NPI registry as an "individual" on April 01, 2025
The provider is located at 3901 Central Pike Ste 351 Hermitage, Tn 37076 and the phone number is (615) 889-8802
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider has more than 2 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.53 with an average copayment of $20.38 for new patient appointments. Established patients should expect a typical charge of $93.6 and an average copayment of 23.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 01, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.