Individual provider Active NPI

Monica Lynn Prater, NP

  • Family Nurse Practitioner
  • La Follette, TN
National Provider Identifier
1053108399
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38790 Issued in TN
Practice address
2212 Jacksboro Pike
La Follette, TN 37766-2903
Phone
(423) 566-8181
Fax
(833) 908-2077
NPI assigned
Apr 21, 2025
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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 38790 TN Primary

Addresses

Primary practice location

2212 Jacksboro Pike
La Follette, TN 37766-2903

Mailing address

2212 Jacksboro Pike
La Follette, TN 37766-2903
Phone (865) 584-4747

Other practice location 1

2497 S Roane St
Harriman, TN 37748-8670
Phone (865) 297-4499

Other names 1

  • Monica Lynn Moyers 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
I20260127003859 TN Practitioner - Nurse Practitioner 6305324849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley MedicalGroup PAC ID 8820471881, 4 clinicians

Practice addresses (Care Compare)

2545 Jacksboro Pike
Jacksboro, TN 37757-4847
Phone (423) 352-6090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38790TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Family CurrentSince Dec 1, 2025 Accepting new patients

Locations

1066 Rutledge Pike
Blaine, TN 37709
Phone (865) 465-3310

2545 Jacksboro Pike
Jacksboro, TN 37757
Phone (423) 352-6090

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1053108399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662903",
            "telephone_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662903",
            "telephone_number": "423-566-8181",
            "fax_number": "833-908-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2497 S Roane St",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377488670",
            "country_code": "US",
            "telephone_number": "865-297-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATER",
        "first_name": "MONICA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "MOYERS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.