Active NPI
Amber F Wilkinson, APN
- Nurse Practitioner
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 12663
- Practice address
- 2685 Boones Creek Road
Suite 104
Johnson City, TN 37615 - Phone
- (423) 282-0636
- Fax
- (423) 282-1990
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12663 | TN | Primary |
Addresses
Primary practice location
2685 Boones Creek Road
Suite 104
Johnson City, TN 37615
Mailing address
2685 Boones Creek Road
Suite 104
Johnson City, TN 37615
Phone (423) 282-0636
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 W Jackson Blvd
Suite 5 6
Jonesborough, TN 37659-5397
Phone 4232820636803
Hospital & facility affiliations
- Greeneville Community Hospital
- Johnson City Medical Center
- Franklin Woods Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boones Creek Medical PLLC | Current | Accepting new patients | |
| Johnson City Emergency Physicians, PC | Nurse Practitioner | Past | Accepting new patients |
| Wellmont Physician Services Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
1000 W Jackson Blvd
Ste 5
Jonesborough, TN 37659
Phone (423) 753-7070
1000 W Jackson Blvd
Ste 56
Jonesborough, TN 37659
Phone (423) 282-0636
Interoperability endpoints
- https://api.platform.athenahealth.com/14317/brand/1/csg/1/fhir/r4
- amber.wilkinson.1@14317.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1871528976
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1376557348
Nurse Practitioner
-
- Internal Medicine Physician
- Big Stone Gap, VA
- NPI 1619095403
Nurse Practitioner
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Greeneville, TN
- NPI 1699819003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1053535211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2685 BOONES CREEK ROAD",
"address_2": "SUITE 104",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37615",
"telephone_number": "423-282-0636",
"fax_number": "423-282-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2685 BOONES CREEK ROAD",
"address_2": "SUITE 104",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37615",
"telephone_number": "423-282-0636",
"fax_number": "423-282-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "AMBER",
"middle_name": "F",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "12663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.