Active NPI
Penny L Welker
- Family Nurse Practitioner
- Jefferson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19412
- Practice address
- 1004 N Highway 92 Ste B
Jefferson City, TN 37760-3687 - Phone
- (865) 647-3400
- Fax
- (865) 647-3401
- NPI assigned
- Dec 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19412 | TN | Primary |
Addresses
Primary practice location
1004 N Highway 92 Ste B
Jefferson City, TN 37760-3687
Mailing address
1004 N Highway 92 Ste B
Jefferson City, TN 37760-3687
Phone (865) 647-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q014367 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | penny.welker.1@4694.direct.athenahealth.com |
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1004 N Hwy 92
Suite B
Jefferson City, TN 37760-3687
Phone (865) 262-9226
Hospital & facility affiliations
- Physicians Regional Medical Center
- Tennova Healthcare-Jefferson Memorial Hospital
- Morristown Hamblen Hospital Association
- Tennova Healthcare - Newport Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knoxville Hma Physician Management, LLC | Family | Current | Accepting new patients |
Locations
1004 N Highway 92
Ste B
Jefferson City, TN 37760
Phone (865) 262-9226
1405 S Sizer Ave
Ste E
Jefferson City, TN 37760
Phone (865) 475-5377
120 Hospital Dr
Ste 100
Jefferson City, TN 37760
Phone (865) 471-2570
10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660
434 4th St
Ste 305
Newport, TN 37821
Phone (423) 415-3282
Interoperability endpoints
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
- penny.welker.2@4694.direct.athenahealth.com
- penny.welker.1@4694.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1629356969
Family
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport, TN
- NPI 1972576247
-
- General Acute Care Hospital
- Jefferson City, TN
- NPI 1972585347
-
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
-
- General Acute Care Hospital
- Morristown, TN
- NPI 1912997024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1174921258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 N HIGHWAY 92 STE B",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377603687",
"telephone_number": "865-647-3400",
"fax_number": "865-647-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 N HIGHWAY 92 STE B",
"city": "JEFFERSON CITY",
"state": "TN",
"postal_code": "377603687",
"telephone_number": "865-647-3400",
"fax_number": "865-647-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELKER",
"first_name": "PENNY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-05",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "19412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q014367",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "penny.welker.1@4694.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "1004 N Highway 92 Ste B",
"city": "Jefferson City",
"state": "TN",
"country_code": "US",
"postal_code": "377603687",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jefferson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.