Individual provider Active NPI

Penny J Pope, FNP

  • Family Nurse Practitioner
  • Scotts Hill, TN
National Provider Identifier
1194126227
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19054 Issued in TN
Practice address
9458 Highway 100
Scotts Hill, TN 38374-6443
Phone
(731) 549-2600
Fax
(731) 549-2166
NPI assigned
Sep 8, 2014
Last updated
May 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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 19054 TN Primary

Addresses

Primary practice location

9458 Highway 100
Scotts Hill, TN 38374-6443

Mailing address

9458 Highway 100
Scotts Hill, TN 38374-6443
Phone (731) 549-2600

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
I20150518000425 TN Practitioner - Nurse Practitioner 1759601685 Reassigns benefits to 1 organization

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
Premier Family Care Inc.Group PAC ID 0840629440, 3 clinicians

Practice addresses (Care Compare)

9458 Hwy 100
Scotts Hill, TN 38374-6443
Phone (731) 549-2600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care Inc. CurrentSince Mar 4, 2020 Accepting new patients

Locations

9458 Highway 100
Scotts Hill, TN 38374
Phone (731) 549-2600

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Premier Family Care Inc.Scotts Hill, TN, CCN 883835 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer (50%)
W-2 Managing Employee (50%)
Operational/Managerial Control (50%)
Feb 1, 2020
Feb 1, 2020
Feb 1, 2020
Feb 1, 2020

Owned or controlled facilities with NPI records 1

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1194126227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9458 HIGHWAY 100",
            "city": "SCOTTS HILL",
            "state": "TN",
            "postal_code": "383746443",
            "telephone_number": "731-549-2600",
            "fax_number": "731-549-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9458 HIGHWAY 100",
            "city": "SCOTTS HILL",
            "state": "TN",
            "postal_code": "383746443",
            "telephone_number": "731-549-2600",
            "fax_number": "731-549-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "PENNY",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotts Hill, TN

Sources for this page

Verify at the official NPI Registry.