Active NPI
Mary Jo Mann, FNP-BC
- Family Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21586
- Practice address
- 9137 Middlebrook Pike
CVS # 4624
Knoxville, TN 37923-1425 - Phone
- (865) 670-0825
- NPI assigned
- Dec 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21586 | TN | Primary |
Addresses
Primary practice location
9137 Middlebrook Pike
CVS # 4624
Knoxville, TN 37923-1425
Mailing address
1416 La Paloma Dr
Knoxville, TN 37923-1418
Phone (865) 621-7220
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Gallatin Pike S
Madison, TN 37115-4613
Phone (866) 389-2727
417 E Emory Rd
Powell, TN 37849-3518
Phone (866) 389-2727
570 Hwy 321 N
Lenoir City, TN 37771-6545
Phone (866) 389-2727
9137 Middlebrook Pike
Knoxville, TN 37923-1425
Phone (866) 389-2727
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.14 of 100
- Quality
- 83.39
- Improvement activities
- 40
- Cost
- 80.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Tennessee PC | Family | Current | Accepting new patients |
| Minuteclinic Primary Care Tennessee PLLC | Family | Current | Accepting new patients |
Locations
1154 Liberty Pike
Franklin, TN 37067
Phone (615) 791-1024
100 Glen Oak Blvd
Hendersonville, TN 37075
Phone (615) 826-3573
9137 Middlebrook Pike
Knoxville, TN 37923
Phone (423) 638-1368
9137 Middlebrook Pike
#4624
Knoxville, TN 37923
Phone (865) 670-0591
6005 Kingston Pike
Knoxville, TN 37919
Phone (865) 389-2727
1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150
417 E Emory Rd
Powell, TN 37849
Phone (865) 938-5411
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Nashville, TN
- NPI 1457323164
-
- Family Nurse Practitioner
- Nashville, TN
- NPI 1790592749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1447794201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 LA PALOMA DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379231418",
"telephone_number": "865-621-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9137 MIDDLEBROOK PIKE",
"address_2": "CVS # 4624",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379231425",
"telephone_number": "865-670-0825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "MARY",
"middle_name": "JO",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-13",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "21586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.