Individual provider Active NPI

Aundrea Nicole Patrick, APRN

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1003411885
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32819 Issued in TN
Practice address
1342 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone
(865) 288-8947
NPI assigned
Dec 1, 2020
Reactivated
Oct 26, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32819 TN Primary
Registered Nurse 163W00000X 226561 TN

Addresses

Primary practice location

1342 Papermill Pointe Way
Knoxville, TN 37909-1903

Mailing address

1326 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone (865) 673-5000

Other practice location 1

2103 Forest Dr Ste 5
Gray, TN 37615-8423
Phone (423) 794-3142

Other practice location 2

610 Michigan Ave
Oak Ridge, TN 37830-5332
Phone (865) 558-7771

Other identifiers 1

IdentifierTypeStateIssuer
1003411885OtherNPI

Other names 1

  • Aundrea Nicole Ipox Former name

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
I20221116000601 TN Practitioner - Nurse Practitioner 6608244017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Informe Healthcare TN LLCGroup PAC ID 0244579290, 15 clinicians

Practice addresses (Care Compare)

709 Walnut St
Chattanooga, TN 37402-1916
Phone (423) 266-7721

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.23 of 100Reported as group
Quality
90
Improvement activities
40
Cost
82.96

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
45.77
Improvement activities
40
Cost
75.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
226561TNMDRegistered Nurse
32819TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Informe Healthcare TN, LLC CurrentSince May 27, 2024 Accepting new patients
Associated Wound Specialists PC Family CurrentSince Sep 23, 2023 Accepting new patients
Associated Wound Specialists PC Family CurrentSince Sep 23, 2023 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Mar 19, 2024 Accepting new patients
Knoxville Center for Behavioral Medicine LLC CurrentSince Aug 12, 2025 Accepting new patients

Locations

709 Walnut St
Chattanooga, TN 37402
Phone (423) 266-7721

2103 Forest Dr
Ste 5
Gray, TN 37615
Phone (423) 477-2885

1820 Roane State Hwy
Harriman, TN 37748
Phone (865) 717-4468

1240 Tennova Medical Way
Knoxville, TN 37909
Phone 8654443770 ext. 1006

1326 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 219-3506

1328 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 212-0530

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

Interoperability endpoints

  • Direct secure messaging: aundrea.patrick@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 6

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

Hospital & facility affiliations 4

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1003411885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 PAPERMILL POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091903",
            "telephone_number": "865-673-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 PAPERMILL POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091903",
            "telephone_number": "865-288-8947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Forest Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "TN",
            "postal_code": "376158423",
            "country_code": "US",
            "telephone_number": "423-794-3142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378305332",
            "country_code": "US",
            "telephone_number": "865-558-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "AUNDREA",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "deactivation_date": "2022-10-17",
        "reactivation_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32819",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "226561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003411885",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUNDREA",
            "last_name": "IPOX",
            "middle_name": "NICOLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.