Individual provider Active NPI

Jennifer L Reedy, FNP

  • Nurse Practitioner
  • Nickelsville, VA
National Provider Identifier
1427681899
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024187445 Issued in VA
Practice address
11708 Nickelsville Hwy Ste 2
Nickelsville, VA 24271-2872
Phone
(276) 248-1880
Fax
(276) 258-0616
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24610 TN
Nurse Practitioner 363L00000X 0024187445 VA Primary

Addresses

Primary practice location

11708 Nickelsville Hwy Ste 2
Nickelsville, VA 24271-2872

Mailing address

11708 Nickelsville Hwy Ste 2
Nickelsville, VA 24271-2872
Phone (276) 248-1880

Other identifiers 2

IdentifierTypeStateIssuer
30016754470002MedicaidVA
Q056056MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200627000174 TN Practitioner - Nurse Practitioner 0840612404 Reassigns benefits to 1 organization
I20240112000028 VA Practitioner - Nurse Practitioner 0840612404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Mentation PLLCGroup PAC ID 7012382070, 2 clinicians

Practice addresses (Care Compare)

11708 Nickelsville Hwy
Suite 200
Nickelsville, VA 24271-2872
Phone (276) 248-1880

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24610TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC CurrentSince Mar 1, 2020 Accepting new patients
Team Mentation PLLC Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC Nurse Practitioner Past Accepting new patients

Locations

301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239

215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900

301 Med Tech Pkwy
Ste 240
Johnson City, TN 37604
Phone (423) 794-5520

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

11708 Nickelsville Hwy
#2
Nickelsville, VA 24271
Phone (276) 248-1880

11708 Nickelsville Hwy
Ste 200
Nickelsville, VA 24271
Phone (276) 248-1880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FABHDD/Endpoint/FABHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FABHDD
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1427681899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11708 NICKELSVILLE HWY STE 2",
            "city": "NICKELSVILLE",
            "state": "VA",
            "postal_code": "242712872",
            "telephone_number": "276-248-1880",
            "fax_number": "276-258-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11708 NICKELSVILLE HWY STE 2",
            "city": "NICKELSVILLE",
            "state": "VA",
            "postal_code": "242712872",
            "telephone_number": "276-248-1880",
            "fax_number": "276-258-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "24610",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024187445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016754470002",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q056056",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nickelsville, VA

Sources for this page

Verify at the official NPI Registry.