Individual provider Active NPI

Rachel Payne, NP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1003139502
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14847 Issued in TN
Practice address
501 20TH St Ste 505
Knoxville, TN 37916-1869
Phone
(865) 546-0157
Fax
(865) 374-2177
NPI assigned
Mar 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14847 TN Primary

Addresses

Primary practice location

501 20TH St Ste 505
Knoxville, TN 37916-1869

Mailing address

501 20TH St Ste 505
Knoxville, TN 37916-1869
Phone (865) 546-0157

Other practice location 1

300 Prosperity Rd
Suite 103
Knoxville, TN 37923-4717
Phone (865) 246-0143

Other identifiers 1

IdentifierTypeStateIssuer
1522295MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payne.rachel@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000412 TN Practitioner - Nurse Practitioner 3779775523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

501 20TH St
Suite 505
Knoxville, TN 37916-1869
Phone (865) 546-0157

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Covenant Medical Group, Inc CurrentSince Jan 2, 2024 Accepting new patients

Locations

501 20th St
Ste 505
Knoxville, TN 37916
Phone (865) 546-0157

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • Direct secure messaging: rpayne@ahc.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1003139502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 505",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161869",
            "telephone_number": "865-546-0157",
            "fax_number": "865-374-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 505",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161869",
            "telephone_number": "865-546-0157",
            "fax_number": "865-374-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Prosperity Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234717",
            "country_code": "US",
            "telephone_number": "865-246-0143",
            "fax_number": "865-246-0146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "RACHEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522295",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payne.rachel@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "501 20th St Ste 505",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379161869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.