Mandy Pollack, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

17069 Issued in TN

Practice address

136 Davis LN
La Follette, TN 37766-3118

Phone

(423) 562-0760

NPI assigned

Apr 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, TN, IA, VA, NE5 enrollments

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 5

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Rebman Medical PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1669276689

  NE

  Medicare reassignment Care Compare group
• SHC Medical Partners of Tennessee, LLC

  • Nurse Practitioner
  • Mountain City, TN
  • NPI 1609051895

  TN

  Medicare reassignment NPD
• Sympatico Health Alliance

  • Psychiatric/Mental Health Nurse Practitioner
  • Ripley, TN
  • NPI 1538952320

  Psychiatric/Mental Health, VA

  Medicare reassignment NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1386413607

  FL

  Medicare reassignment NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1558130716

  FL

  Medicare reassignment NPD
• Christopher Dennis MD PLLC

  • Psychiatry Physician
  • Johns Creek, GA
  • NPI 1588090229

  Psychiatric/Mental Health, TN

  Medicare reassignment NPD
• Forefront Telecare Inc

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1174035612

  IA

  Medicare reassignment NPD
• SHC Medical Partners of Florida, LLC

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1861677064

  FL

  Medicare reassignment NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1528871126
  NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1992518591
  NPD

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1255575643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 TOWN AND COUNTRY CIR # 1066",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 DAVIS LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663118",
            "telephone_number": "423-562-0760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "573012908",
            "country_code": "US",
            "telephone_number": "605-996-6526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "MANDY",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "17069",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9245838",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9245838",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "200141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Passafiume, PTA
• Suzanne M Pearman, D.O.
• Sandra Kay Perkins, COTA/L
• Isabella Solisia Phillips
• Margaret Teresa Pierce
• Gloria Joann Poppy, PHYSICAL THERAPIST
• Monica Lynn Prater, NP
• Shane Prater, COTA
• Jessie Leigh Presnell, PTA
• Ronda K Pyles, PA-C

• All providers in La Follette, TN
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.

Verify at the official NPI Registry.