Individual provider Active NPI

Abigail Merica

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1376372888
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36771 Issued in TN
Practice address
1880 N Eastman Rd
Kingsport, TN 37664-2391
Phone
(865) 862-4557
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 36771 TN Primary

Addresses

Primary practice location

1880 N Eastman Rd
Kingsport, TN 37664-2391

Mailing address

1050 Rosella Dr
White Pine, TN 37890-2504

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
I20241109000082 TN Practitioner - Nurse Practitioner 8628502952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Express of Tennessee PCGroup PAC ID 3072849637, 42 clinicians

Practice addresses (Care Compare)

10910 Kingston Pike
Unit 101
Knoxville, TN 37934-2948
Phone (865) 862-4557

11609 Parkside Dr
Knoxville, TN 37934-2660
Phone (865) 205-9590

5111 Peter Taylor Park Dr
Suite 500
Brentwood, TN 37027-2398
Phone (615) 510-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36771TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of Tennessee, PC CurrentSince Aug 1, 2024 Accepting new patients
Heartland Infusion CurrentSince Aug 4, 2024 Accepting new patients
Ivxpress Inc PastSince Aug 4, 2024 Accepting new patients

Locations

5111 Peter Taylor Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 510-6002

7443 Commons Blvd
Ste 114
Chattanooga, TN 37421
Phone (423) 558-0677

1880 N Eastman Rd
Kingsport, TN 37664
Phone (865) 862-4557

2626 E Stone Dr
Ste 2
Kingsport, TN 37660
Phone (423) 815-2665

1880 N Eastman Rd
Ste 150
Kingsport, TN 37664
Phone (865) 862-4557

10910 Kingston Pike
Unit 101
Knoxville, TN 37934
Phone (865) 675-2050

6216 Highland Place Way
Ste 101
Knoxville, TN 37919
Phone (865) 243-8100

11609 Parkside Dr
Knoxville, TN 37934
Phone (865) 205-9590

2342 Sandstone Dr
Ste 400
Morristown, TN 37814
Phone (423) 352-4063

2249 Sandstone Dr
Morristown, TN 37814
Phone (423) 352-4063

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1376372888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ROSELLA DR",
            "city": "WHITE PINE",
            "state": "TN",
            "postal_code": "378902504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N EASTMAN RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642391",
            "telephone_number": "865-862-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERICA",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.