Individual provider Active NPI

Martha Jean Pascarella, NP

  • Family Nurse Practitioner
  • Athens, TN
National Provider Identifier
1174549638
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
MD00000087737 Issued in TN
Practice address
719 Cook Dr
Suite 102
Athens, TN 37303-3495
Phone
(423) 745-1277
Fax
(423) 745-2188
NPI assigned
Jul 15, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X MD00000087737 TN Primary

Addresses

Primary practice location

719 Cook Dr
Suite 102
Athens, TN 37303-3495

Mailing address

PO Box 906
Athens, TN 37371-0906
Phone (423) 745-1277

Other identifiers 2

IdentifierTypeStateIssuer
500021758OtherTNMEDICARE RR
4020106OtherTNBCBS

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
I20080225000687 TN Practitioner - Nurse Practitioner 1456435700 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

2037 Congress Pkwy S
Athens, TN 37303-2813
Phone (423) 381-0152

9058 Old Lee Hwy
Ooltewah, TN 37363-5631
Phone (423) 458-1426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
MD00000087737TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Head and Neck Surgery Associates CurrentSince Apr 22, 2017 Accepting new patients
DX Mso, PLLC CurrentSince Nov 14, 2023 Accepting new patients
Merit Anesthesia PLLC CurrentSince Feb 17, 2020 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 1, 2022 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 1, 2022 Accepting new patients
Athens Physicians Practice LLC Family Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Athens Physicians Practice LLC Past Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

301 Grady Rd
Etowah, TN 37331
Phone (423) 263-1743

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

144 Concord Rd
Knoxville, TN 37934

1450 Dowell Springs Blvd
Knoxville, TN 37909
Phone (865) 637-8812

Interoperability endpoints

  • Direct secure messaging: marthapascarella@imatn.allscriptsdirect.net

Organizations & group practices 8

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174549638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373710906",
            "telephone_number": "423-745-1277",
            "fax_number": "423-745-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 COOK DR",
            "address_2": "SUITE 102",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033495",
            "telephone_number": "423-745-1277",
            "fax_number": "423-745-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCARELLA",
        "first_name": "MARTHA",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "MD00000087737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "500021758",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4020106",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.