Individual provider Active NPI

Jill Lyn Newton, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabethton, TN
National Provider Identifier
1013353846
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27004 Issued in TN
Practice address
426 E G St
Elizabethton, TN 37643-3224
Phone
(423) 547-5950
Fax
(423) 547-5953
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN587964 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27004 TN Primary

Addresses

Primary practice location

426 E G St
Elizabethton, TN 37643-3224

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600

Other names 1

  • Jill Lyn Molt 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
I20200601002309 TN Practitioner - Nurse Practitioner 6709207681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frontier HealthGroup PAC ID 2860302320, 70 clinicians

Practice addresses (Care Compare)

426 E G St
Elizabethton, TN 37643-3224
Phone (423) 467-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN587964PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health CurrentSince May 1, 2020 Accepting new patients
Frontier Health CurrentSince May 1, 2020 Accepting new patients

Locations

1145 Volunteer Pkwy
Bristol, TN 37620
Phone (423) 989-4500

426 E G St
Elizabethton, TN 37643
Phone (423) 547-5950

218 N Main Ave
Erwin, TN 37650
Phone (423) 741-8263

401 Holston Dr
Greeneville, TN 37743
Phone (423) 639-1104

109 W Watauga Ave
Johnson City, TN 37604
Phone (423) 232-2600

1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670

1570 Waverly Rd
Kingsport, TN 37664
Phone (423) 224-1300

318 Donnelly St
Mountain City, TN 37683
Phone (423) 727-2100

101 Lena Dr
Rogersville, TN 37857
Phone (423) 272-9239

210 River Rd
Sneedville, TN 37869
Phone (423) 733-2061

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.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1013353846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E G ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433224",
            "telephone_number": "423-547-5950",
            "fax_number": "423-547-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "JILL",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN587964",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "27004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MOLT",
            "middle_name": "LYN",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.