Individual provider Active NPI

Mary Renee McNees, FNP-BC

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1043768435
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21736 Issued in TN
Practice address
2300 Pavilion Drive
Kingsport, TN 37660
Phone
(423) 765-9655
Fax
(423) 979-6333
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 0024174103 VA
Family Nurse Practitioner 363LF0000X 21736 TN Primary

Addresses

Primary practice location

2300 Pavilion Drive
Kingsport, TN 37660

Mailing address

2717 East Oakland Avenue
Johnson City, TN 37601-1843
Phone (423) 926-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161214001240 VA Practitioner - Nurse Practitioner 7719267426 Reassigns benefits to 2 organizations
I20170103001511 TN Practitioner - Nurse Practitioner 7719267426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Health Transitions, PLLCGroup PAC ID 7315242302, 19 clinicians

Practice addresses (Care Compare)

245 N St
Bristol, VA 24201-3274
Phone (276) 699-4711

Hospital & facility affiliations

  • Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Transitions, PLLC CurrentSince Oct 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC CurrentSince Jun 30, 2023 Accepting new patients
Renuven Aco PLLC CurrentSince Jun 23, 2025 Accepting new patients
Renuven Health Partners of Georgia PC Past Accepting new patients

Locations

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

3107 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 979-0000

2300 Pavilion Dr
Kingsport, TN 37660
Phone (423) 765-9655

809 E Emerald Ave
Knoxville, TN 37917
Phone (865) 524-7366

245 North St
Bristol, VA 24201
Phone (276) 669-4711

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Organizations & group practices 4

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 1

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1043768435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 EAST OAKLAND AVENUE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "423-926-2358",
            "fax_number": "423-926-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PAVILION DRIVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-765-9655",
            "fax_number": "423-979-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEES",
        "first_name": "MARY",
        "middle_name": "RENEE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174103",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.