Individual provider Active NPI

Mary Jo Mann, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1447794201
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21586 Issued in TN
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

Updated by the provider on Dec 14, 2016

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227001092 TN Practitioner - Nurse Practitioner 9133403710 Reassigns benefits to 2 organizations

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
Minuteclinic Diagnostic of Tennessee PCGroup PAC ID 2961428990, 82 clinicians

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 100Reported as group
Quality
83.39
Improvement activities
40
Cost
80.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince Jan 9, 2017 Accepting new patients
Minuteclinic Primary Care Tennessee PLLC Family CurrentSince Jun 4, 2025 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.

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

Verify at the official NPI Registry.