Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa Ebersole

Individual provider Family Nurse Practitioner · NPI 1144908260

Marisa Ebersole is a Nurse Practitioner in Clarksville, Tennessee. Qualified in 2022, 4 years ago. Practices with Crossroads Urgent Care PLLC, a 179-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2023
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Practice location Address checks out

1193 Fort Campbell Blvd
Clarksville, TN 37042-8880
Phone: (931) 648-4838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2147 Wilma Rudolph Blvd, Clarksville, TN 37040-6718 — (931) 241-4115
  • 1690 Fort Campbell Blvd, Clarksville, TN 37042-7531 — (931) 648-4838
  • 1466 Tiny Town Rd, Clarksville, TN 37042-8291 — (931) 503-7093
  • 2224 Madison St Ste B, Clarksville, TN 37043-8043 — (931) 503-7015

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 34201 (TN)

Record details

NPI number1144908260
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2023
Last updated in NPPESJuly 10, 2023
Certification dateJuly 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Crossroads Urgent Care Pllc — 179 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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