Individual provider Active NPI

Jeanette Margaret Mullane, FNP-C

  • Family Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1265953350
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22735 Issued in TN
Practice address
4138 Durham LNDG
Morristown, TN 37813-1006
Phone
(423) 586-1717
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 22735 TN Primary

Addresses

Primary practice location

4138 Durham LNDG
Morristown, TN 37813-1006

Mailing address

4138 Durham LNDG
Morristown, TN 37813-1006
Phone (423) 586-1717

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeanette.mullane.1@3525.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171016002148 TN Practitioner - Nurse Practitioner 9537435755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

3614 W Andrew Johnson Hwy
Morristown, TN 37814-3602
Phone (423) 586-9495

4138 Durham LNDG
Morristown, TN 37813-1006
Phone (423) 586-1717

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Morristown, TN, CCN 447190
  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians PC CurrentSince Oct 1, 2021 Accepting new patients
Healthstar Physicians, P.C. CurrentSince Oct 1, 2021 Accepting new patients
Renuven Health Partners of Georgia PC Past Accepting new patients
East Tennessee Primary Care Associates Past Accepting new patients

Locations

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

4138 Durham Lndg
Morristown, TN 37813
Phone (423) 586-1717

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

Interoperability endpoints

  • Direct secure messaging: jeanette.mullane.1@3525.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1265953350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4138 DURHAM LNDG",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378131006",
            "telephone_number": "423-586-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4138 DURHAM LNDG",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378131006",
            "telephone_number": "423-586-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLANE",
        "first_name": "JEANETTE",
        "middle_name": "MARGARET",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeanette.mullane.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4138 Durham Lndg",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378131006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.