Individual provider Active NPI

Porscha Debusk, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1073210944
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
32998 Issued in TN
Practice address
1240 Tennova Medical Way
Knoxville, TN 37909-3120
Phone
(865) 444-3770
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32998 TN Primary

Addresses

Primary practice location

1240 Tennova Medical Way
Knoxville, TN 37909-3120

Mailing address

1240 Tennova Medical Way
Knoxville, TN 37909-3120
Phone (865) 444-3770

Other practice location 1

6701 Glenbrook Dr
Knoxville, TN 37919-8247
Phone (865) 919-4106

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
I20230614002852 TN Practitioner - Nurse Practitioner 5496113060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Dowell Springs Behavioral Health, LLCGroup PAC ID 5597157016, 11 clinicians

Practice addresses (Care Compare)

1444 Old Weisgarber Rd
Knoxville, TN 37909-1293
Phone (865) 722-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dowell Springs Behavioral Health, LLC CurrentSince Jun 27, 2024 Accepting new patients
Knoxville Center for Behavioral Medicine LLC CurrentSince Apr 15, 2023 Accepting new patients
Acute Behavioral Health of Tennessee PC Psychiatric/Mental Health PastSince Feb 19, 2023 Accepting new patients

Locations

1240 Tennova Medical Way
Knoxville, TN 37909
Phone 8654443770 ext. 1006

1444 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 500-6665

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, 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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1073210944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 TENNOVA MEDICAL WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093120",
            "telephone_number": "865-444-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 TENNOVA MEDICAL WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093120",
            "telephone_number": "865-444-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Glenbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379198247",
            "country_code": "US",
            "telephone_number": "865-919-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBUSK",
        "first_name": "PORSCHA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "32998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.