Elizabeth P McKnight, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Somerville, TN

NPI 1164591566 · NPPES record last updated Feb 13, 2024

Key facts

NPI
1164591566
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APN0000011740 (TN)
Practice address
25 Woodbridge Rd Ste a
Somerville, TN 38068-1242
Phone
(901) 465-6353
Fax
(833) 902-3599
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

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.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100 (apm)
Quality
69.69
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McKnight Clinic PLLC
Somerville, TN · CCN 888900
Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee
Mar 10, 2008
Mar 10, 2008
Mar 10, 2008

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060314000388 TN Practitioner - Nurse Practitioner 9638186877 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000011740TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKnight Clinic PLLC Current
since Jan 22, 2011
Accepting new patients
McKnight Clinic PLLC Current
since Jan 22, 2011
Accepting new patients
Wilder Clinic Past
since May 1, 2008
Accepting new patients

Locations

25 Woodbridge Rd
Somerville, TN 38068
Phone (901) 465-6353

25 Woodbridge Rd
Ste A
Somerville, TN 38068
Phone (901) 465-6353

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/110cb3c6-b110-474f-9f37-1dc02438d0c6/
  • FHIR API: https://api.platform.athenahealth.com/26256/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000011740 TN Yes

Addresses

Primary practice location

25 Woodbridge Rd Ste a
Somerville, TN 38068-1242

Mailing address

25 Woodbridge Rd Ste a
Somerville, TN 38068-1242
Phone (901) 465-6353

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.mcknight.1@26256.direct.athenahealth.com mcknight clinic pllc

Other providers in Somerville, TN

All providers in Somerville, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.