Misty Renee Nichols, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

32623 Issued in TN

Practice address

3001 Lake Brook Blvd Ste 101
Knoxville, TN 37909-3761

Phone

(865) 374-0600

Fax

(844) 872-9555

NPI assigned

Oct 7, 2022

Last updated

Oct 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant HomecareGroup PAC ID 0749282010, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Leconte Medical Center Hospital, Sevierville, TN, CCN 440081
• Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
• Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Covenant Homecare

  dba Covenant Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Knoxville, TN
  • NPI 1649540170
  Medicare reassignment Care Compare group NPD
• Covenant Homecare

  dba Covenant Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Oak Ridge, TN
  • NPI 1174885289
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  Care Compare affiliation
• Leconte Medical Center

  • General Acute Care Hospital
  • Sevierville, TN
  • NPI 1528052578
  Care Compare affiliation
• Morristown Hamblen Hospital Association

  dba Morristown Hamblen Healthcare System

  • General Acute Care Hospital
  • Morristown, TN
  • NPI 1912997024
  Care Compare affiliation

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1083339444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 LAKE BROOK BLVD STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093761",
            "telephone_number": "865-374-0600",
            "fax_number": "844-872-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 LAKE BROOK BLVD STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093761",
            "telephone_number": "865-374-0600",
            "fax_number": "844-872-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E LaMar Alexander Pkwy",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378045130",
            "country_code": "US",
            "telephone_number": "865-724-0867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MISTY",
        "middle_name": "RENEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q085099",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nichols, BA
• Joan Elizaveth Nichols, LPC-MHSP(T)
• John Foster Nichols
• Joshua Nichols
• Melissa Nichols
• Nadine E. Nichols, OWNER,MANAGER
• Phillip Lynn Nichols II, MD
• Sharon Nichols, RN, IBCLC, RLC
• Stephnaie Johnson Nichols, PHARMD
• Andrew David Nicholson, MD

• Family Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.

Verify at the official NPI Registry.