Rachel Anne Anderson, FNP
Individual provider Active NPI Family Nurse Practitioner · Johnson City, TN
NPI 1306208798 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1306208798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN0000020334 (TN)
- Practice address
- 1118 East Holston Avenue
Johnson City, TN 37601 - Phone
- (423) 327-3159
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wellmont Medical Associates Inc
Practice addresses (Care Compare)
16000 Johnston Memorial Dr
Suite 312
Abingdon, VA 24211-7664
Phone (276) 258-1000
Hospital & facility affiliations
- Johnston Memorial Hospital
- Smyth County Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180514000443 | VA | Practitioner - Nurse Practitioner | 4385908607 | Reassigns benefits to 2 organizations |
| I20180525000405 | TN | Practitioner - Nurse Practitioner | 4385908607 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000020334 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current |
Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current |
Accepting new patients |
Locations
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
16000 Johnston Memorial Dr
Ste 312
Abingdon, VA 24211
Phone (276) 258-3730
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20334 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN0000020334 | TN | Yes |
Addresses
Primary practice location
1118 East Holston Avenue
Johnson City, TN 37601
Mailing address
16000 Johnston Memorial Dr Ste 312
Abingdon, VA 24211-7664
Phone (276) 258-3734
Other practice location 1
1019 W Oakland Ave Ste 1
Johnson City, TN 37604-2357
Phone (423) 915-5000
Other providers in Johnson City, TN
- Charles David Anderson
- Emma Anderson
- Madison Anderson
- Noah Anderson
- Noah Scott Anderson
- Sally George Anderson
- Sara Ruth Anderson
- Travis J Anderson
- Whitney Anderson
- Willie Thomas Anderson III
All providers in Johnson City, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.