Individual provider Active NPI

Mazie Bivens

  • Family Nurse Practitioner
  • Madisonville, TN
National Provider Identifier
1114809738
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38983 Issued in TN
Practice address
4798 New Highway 68
Madisonville, TN 37354-1287
Phone
(423) 442-2622
NPI assigned
Jul 24, 2025
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 38983 TN Primary
Registered Nurse 163W00000X 253982 TN

Addresses

Primary practice location

4798 New Highway 68
Madisonville, TN 37354-1287

Mailing address

1759 Grand Pine PT
Maryville, TN 37801-2403
Phone (423) 836-3560

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
I20250919001990 TN Practitioner - Nurse Practitioner 9335643519 Reassigns benefits to 1 organization

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
Chota Community Health ServicesGroup PAC ID 9436130135, 19 clinicians

Practice addresses (Care Compare)

4798 New Hwy 68
Madisonville, TN 37354-1287
Phone (423) 442-2622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
253982TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chota Community Health Services CurrentSince Aug 1, 2025 Accepting new patients
Chota Community Health Services CurrentSince Aug 1, 2025 Accepting new patients

Locations

4798 New Highway 68
Madisonville, TN 37354
Phone (423) 884-7271

1206 Highway 411
Vonore, TN 37885
Phone (423) 884-7271

Interoperability endpoints

  • Direct secure messaging: mazie.bivens.p1@direct.chota.nextgenshare.com

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": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1114809738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 GRAND PINE PT",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378012403",
            "telephone_number": "423-836-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4798 NEW HIGHWAY 68",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541287",
            "telephone_number": "423-442-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVENS",
        "first_name": "MAZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38983",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "253982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

Verify at the official NPI Registry.