Individual provider Active NPI

Brenda Jessee, FNP

  • Family Nurse Practitioner
  • Lebanon, VA
National Provider Identifier
1457340598
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0017000636 Issued in VA
Practice address
495 East Main Street
Lebanon, VA 24266-4510
Phone
(276) 889-3700
Fax
(276) 889-5505
NPI assigned
Oct 20, 2005
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21969 TN
Family Nurse Practitioner 363LF0000X 0017000636 VA Primary

Addresses

Primary practice location

495 East Main Street
Lebanon, VA 24266-4510

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

438 E Vann Rd Ste 301
Greeneville, TN 37743-7202
Phone (423) 636-9828

Other practice location 2

161 Heart Dr Ste A
Johnson City, TN 37604-2607
Phone (423) 282-0751

Other practice location 3

111 W Stone Dr Ste 110
Kingsport, TN 37660-6027
Phone (423) 224-3701

Other practice location 4

671 Highway 58 E
Norton, VA 24273-3007
Phone (276) 679-5874

Other practice location 5

405 Scenic Dr Ste A
Rogersville, TN 37857-2441
Phone (423) 921-3490

Other practice location 6

743 Island Rd
Bristol, VA 24201-7403
Phone (276) 469-4200

Other practice location 7

2686 W State St
Bristol, TN 37620-1817
Phone (423) 844-0026

Other practice location 8

1497 W Elk Ave Ste 11
Elizabethton, TN 37643-2896
Phone (423) 542-8929

Other practice location 9

4600 Fort Henry Dr
Kingsport, TN 37663-2617
Phone (423) 224-3950

Other practice location 10

350 Blountville Hwy Ste 205
Bristol, TN 37620-1671
Phone (423) 968-6650

Other identifiers 1

IdentifierTypeStateIssuer
010128625MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 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
I20060125000614 VA Practitioner - Nurse Practitioner 2961426218 Reassigns benefits to 1 organization
I20161102001481 TN Practitioner - Nurse Practitioner 2961426218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200

24530 Falcon Place Blvd
Abingdon, VA 24211-7665

2686 W State St
Bristol, TN 37620-1817
Phone (423) 844-0026

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21969TNMDFamily Nurse Practitioner
0017000636VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Nov 1, 2017 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Nov 1, 2017 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Nov 1, 2017 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Dec 1, 2024 Accepting new patients
Wellmont Medical Associates Inc Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Dec 1, 2024 Accepting new patients
C-Health PC Past Accepting new patients

Locations

2686 W State St
Bristol, TN 37620
Phone (423) 844-0026

350 Blountville Hwy
Ste 205
Bristol, TN 37620
Phone (423) 968-2732

1497 W Elk Ave
Ste 11
Elizabethton, TN 37643
Phone (423) 542-7480

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

438 E Vann Rd
Ste 301
Greeneville, TN 37743
Phone (423) 278-1650

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

161 Heart Dr
Ste A
Johnson City, TN 37604
Phone (423) 282-0751

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701

2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900

4600 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 224-3950

405 Scenic Dr
Ste A
Rogersville, TN 37857
Phone (423) 272-2111

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

743 Island Rd
Bristol, VA 24201
Phone (276) 469-4200

495 E Main St
Lebanon, VA 24266
Phone (276) 889-3700

671 Highway 58 E
Norton, VA 24273
Phone (276) 679-5874

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1457340598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 EAST MAIN STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664510",
            "telephone_number": "276-889-3700",
            "fax_number": "276-889-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 E Vann Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377437202",
            "country_code": "US",
            "telephone_number": "423-636-9828",
            "fax_number": "423-636-9828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Heart Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042607",
            "country_code": "US",
            "telephone_number": "423-282-0751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Stone Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376606027",
            "country_code": "US",
            "telephone_number": "423-224-3701",
            "fax_number": "423-224-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "671 Highway 58 E",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242733007",
            "country_code": "US",
            "telephone_number": "276-679-5874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Scenic Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572441",
            "country_code": "US",
            "telephone_number": "423-921-3490",
            "fax_number": "423-921-3490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Island Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242017403",
            "country_code": "US",
            "telephone_number": "276-469-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2686 W State St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376201817",
            "country_code": "US",
            "telephone_number": "423-844-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 W Elk Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432896",
            "country_code": "US",
            "telephone_number": "423-542-8929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Fort Henry Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376632617",
            "country_code": "US",
            "telephone_number": "423-224-3950",
            "fax_number": "423-224-3950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Blountville Hwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376201671",
            "country_code": "US",
            "telephone_number": "423-968-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESSEE",
        "first_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21969",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017000636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010128625",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

Verify at the official NPI Registry.