Individual provider Active NPI

Mary J Walker, APN

  • Family Nurse Practitioner
  • Madisonville, TN
National Provider Identifier
1023051067
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5417 Issued in TN
Practice address
465 Isbill Rd
Madisonville, TN 37354-2112
Phone
(865) 335-0330
Fax
(865) 273-1755
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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 5417 TN Primary

Addresses

Primary practice location

465 Isbill Rd
Madisonville, TN 37354-2112

Mailing address

P.O. Box 6307
Maryville, TN 37802-6307
Phone (865) 273-1752

Other identifiers 1

IdentifierTypeStateIssuer
39083231MedicaidTN

Other names 1

  • Mary J Minyard 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
I20040601001414 TN Practitioner - Nurse Practitioner 4486636867 Reassigns benefits to 1 organization
Practice locations: Madisonville, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Partners of East Tennessee PLLCGroup PAC ID 4486801982, 36 clinicians

Practice addresses (Care Compare)

1869 Crest Rd
Maryville, TN 37804-4304
Phone (865) 980-5200

2304 E Lamar Alexander Pkwy
Maryville, TN 37804-5316
Phone (865) 980-6200

2317 US Hwy 411 S
Maryville, TN 37801-8634
Phone (865) 980-5200

2320 E Lamar Alexander Pkwy
Maryville, TN 37804-5316
Phone (865) 980-5200

2648 Sevierville Rd
Maryville, TN 37804-3643
Phone (865) 980-5200

7700 Dannaher Dr
Powell, TN 37849-4028
Phone (865) 980-5200

801 Vanosdale Rd
Knoxville, TN 37909-2497
Phone (865) 980-5200

804 Shannondale Way
Maryville, TN 37803-5970
Phone (865) 246-2104

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 980-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as apm
Quality
52.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Partners of East Tennessee, PLLC Family CurrentSince Aug 16, 2012 Accepting new patients
East Tennessee Medical Group, PC Past Accepting new patients
Blount Memorial Physician Group, Inc PastSince Aug 5, 2021 Accepting new patients

Locations

465 Isbill Rd
Madisonville, TN 37354
Phone (423) 442-3990

2320 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 273-8300

250 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5244

312 McMasters Pl
Maryville, TN 37801
Phone (865) 977-9157

2648 Sevierville Rd
Maryville, TN 37804
Phone (865) 984-1660

2317 US Highway 411 S
Maryville, TN 37801
Phone (865) 238-5338

1012 Jamestown Way
Maryville, TN 37803
Phone (865) 984-7400

307 N 5th St
Maryville, TN 37804
Phone (423) 983-0261

1812 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 977-0916

1869 Crest Rd
Maryville, TN 37804
Phone (865) 984-3030

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

978 Highway 11 S
Sweetwater, TN 37874
Phone (423) 337-6631

Interoperability endpoints

  • Direct secure messaging: mary.walker@3725.securemail.prognocis.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mwalker872818@direct.ghs.myhfn.org

Organizations & group practices 3

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 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1023051067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6307",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378026307",
            "telephone_number": "865-273-1752",
            "fax_number": "865-273-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 ISBILL RD",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373542112",
            "telephone_number": "865-335-0330",
            "fax_number": "865-273-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "5417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39083231",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MINYARD",
            "middle_name": "J",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madisonville, TN

Sources for this page

Verify at the official NPI Registry.