Active NPI
Jeremy M. Mills, PMHNP-BC, MSN
- Psychiatric/Mental Health Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN0000017491
- Practice address
- 1451 Dowell Springs Blvd
Knoxville, TN 37909-2441 - Phone
- (865) 970-9800
- Fax
- (865) 374-7317
- NPI assigned
- Apr 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN0000177236 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN0000017491 | TN | Primary |
Addresses
Primary practice location
1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Mailing address
1400 Centerpoint Blvd Ste 158
Knoxville, TN 37932-1966
Phone (865) 374-5806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q001105 | Medicaid | TN |
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Phone (865) 970-9800
Hospital & facility affiliations
- Parkwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000177236 | TN | MD | Psychiatric/Mental Health Registered Nurse |
| APN0000017491 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwest Medical Center | Current | Accepting new patients | |
| Parkwest Medical Center | Current | Accepting new patients |
Locations
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1451 Dowell Springs Blvd
Knoxville, TN 37909
Phone (865) 374-7123
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
- Psychiatric Hospital Unit
- Knoxville, TN
- NPI 1851369243
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1134462864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CENTERPOINT BLVD STE 158",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321966",
"telephone_number": "865-374-5806",
"fax_number": "865-370-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 DOWELL SPRINGS BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092441",
"telephone_number": "865-970-9800",
"fax_number": "865-374-7317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "JEREMY",
"middle_name": "M.",
"credential": "PMHNP-BC, MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TN",
"license": "RN0000177236",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN0000017491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q001105",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.