Mary Ann Hammonds, MSN ADULT NURSE PRA
Individual provider Active NPI Adult Health Nurse Practitioner · Knoxville, TN
NPI 1346565009 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1346565009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 14889 (TN)
- Practice address
- 220 Fort Sanders West Blvd Ste 200
Knoxville, TN 37922-3471 - Phone
- (865) 288-4232
- Fax
- (865) 288-4231
- NPI assigned
- Apr 6, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Medicine West PLLC
Practice addresses (Care Compare)
1236 Knoxville Hwy
Wartburg, TN 37887-4200
Phone (423) 346-5566
220 Fort Sanders W Blvd
BLDG. 2 Suite 200
Knoxville, TN 37922
Phone (865) 288-4232
Hospital & facility affiliations
- Quality Home Health
- Methodist Medical Center of Oak Ridge
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20100909000115 | TN | Practitioner - Nurse Practitioner | 3173648516 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Family Medicine West PLLC | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Family Medicine West PLLC | Current |
Accepting new patients | |
| Synergy Health Systems, PLLC | Past | Accepting new patients | |
| Tennessee Innovative Medical Services PLLC | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
220 Fort Sanders West Blvd
Ste 200
Knoxville, TN 37922
Phone (423) 346-5566
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 14889 | TN | Yes |
Addresses
Primary practice location
220 Fort Sanders West Blvd Ste 200
Knoxville, TN 37922-3471
Mailing address
180 Leisz Rd
Harriman, TN 37748-4327
Phone (865) 394-9078
Other practice location 1
180 Leisz Rd
Harriman, TN 37748-4327
Phone (865) 394-9078
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1520176 | Medicaid | TN |
Other providers in Knoxville, TN
- Sasha Hammett
- Nicole Michelle Hammock
- Chandler Hammond
- Stephanie Brooke Hammond
- Devin Marie Hammonds
- Shelby Paige Hammonds
- Cathy Mills Hammons
- Joshua T Hammontree
- Bert A Hampton
- Jennifer Marie Hampton
All providers in Knoxville, TN · Adult Health 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 Jul 21, 2022. 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.