Jessica N Bembry, FNP
Individual provider Active NPI Family Nurse Practitioner · Bristol, VA
NPI 1043769490 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1043769490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 21915 (TN)
- Practice address
- 743 Island Rd
Bristol, VA 24201-7403 - Phone
- (276) 469-4200
- NPI assigned
- Sep 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- WPS Providers Inc
Practice addresses (Care Compare)
2202 N John B Dennis Hwy
Suite 110
Kingsport, TN 37660-5904
Phone (423) 578-8400
743 Island Rd
Bristol, VA 24201-7403
Phone (276) 469-4200
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
- Wellmont Bristol Regional Medical Center
- Johnston Memorial Hospital
- Indian Path Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161123001027 | TN | Practitioner - Nurse Practitioner | 9234418831 | Reassigns benefits to 1 organization |
| I20161208001581 | VA | Practitioner - Nurse Practitioner | 9234418831 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177943 | TN | MD | Oncology Registered Nurse |
| 0024174175 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| Solstas Lab Partners Group LLC | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
378 Marketplace Blvd
Ste 5
Johnson City, TN 37604
Phone (423) 282-0751
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
2202 N John B Dennis Hwy
Ste 204
Kingsport, TN 37660
Phone (423) 224-3300
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
2202 N John B Dennis Hwy
Ste 100
Kingsport, TN 37660
Phone (423) 245-3161
4485 W Stone Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3150
2202 N John B Dennis Hwy
Ste 110
Kingsport, TN 37660
Phone (423) 578-8400
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
24530 Falcon Place Blvd
Ste 100
Abingdon, VA 24211
Phone (276) 619-0075
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
743 Island Rd
Bristol, VA 24201
Phone (276) 469-4200
671 Highway 58 E
Norton, VA 24273
Phone (276) 679-5874
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024174175 | VA | |
| Family Nurse Practitioner | 363LF0000X | 21915 | TN | Yes |
| Oncology Registered Nurse | 163WX0200X | 177943 | TN |
Addresses
Primary practice location
743 Island Rd
Bristol, VA 24201-7403
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
4485 W Stone Dr
Suite 200
Kingsport, TN 37660-1050
Phone (423) 224-3150
Other practice location 2
671 Highway 58 E
Norton, VA 24273-3007
Phone (276) 679-5874
Other practice location 3
378 Marketplace Blvd Ste 5
Johnson City, TN 37604-2361
Phone (423) 282-0751
Other practice location 4
2202 N John B Dennis Hwy Ste 100
Kingsport, TN 37660-5904
Phone (423) 578-8500
Other practice location 5
2202 N John B Dennis Hwy Ste 204
Kingsport, TN 37660-5904
Phone (423) 245-1040
Other providers in Bristol, VA
- Jennifer Lee Barnett
- Jessica Barnette
- Barry R. Matheson, DDS, MSD PC
- Gayle Catherine Bates
- Charise Nadine Battel
- Betsy a Rose
- Victoria Cross Bettis
- Randy A Birt
- Sally Blackburn
- Shirley R Blake
All providers in Bristol, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.