Individual provider Active NPI

Kamryn Marie Wong Mead, FNP-BC

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1033834692
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32502 Issued in TN
Practice address
8040 Wolf River Blvd Ste 200
Germantown, TN 38138-1775
Phone
(901) 726-0200
Fax
(901) 278-3050
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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 32502 TN Primary
Registered Nurse 163W00000X 257261 TN

Addresses

Primary practice location

8040 Wolf River Blvd Ste 200
Germantown, TN 38138-1775

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice location 1

735 Harding Pl
Nashville, TN 37211-4357
Phone (615) 781-1282

Other practice location 2

224 Westchase Dr
Nashville, TN 37205-4735
Phone (901) 833-4711

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
I20221213000658 TN Practitioner - Nurse Practitioner 2860861978 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
Telehealth
Offers telehealth services
Group practices
Baptist Memorial Medical Group, Inc. 581 clinicians

Practice addresses (Care Compare)

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

8040 Wolf River Blvd
Germantown, TN 38138-1773

8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1775
Phone (901) 726-0200

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
257261TNMDRegistered Nurse
32502TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Wellness Clinics of America, PLLC CurrentSince Oct 5, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
Baptist Memorial Medical Group Inc Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

580 Franklin Rd
Ste 200
Franklin, TN 37069
Phone (615) 685-4670

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

8040 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 726-0200

4625 Poplar Ave
Memphis, TN 38117
Phone (901) 227-4020

Interoperability endpoints

  • Direct secure messaging: kwong565419@direct.bmhcc.org

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 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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1033834692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 WOLF RIVER BLVD STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381775",
            "telephone_number": "901-726-0200",
            "fax_number": "901-278-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Harding Pl",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114357",
            "country_code": "US",
            "telephone_number": "615-781-1282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Westchase Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372054735",
            "country_code": "US",
            "telephone_number": "901-833-4711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEAD",
        "first_name": "KAMRYN",
        "middle_name": "MARIE WONG",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32502",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "257261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.