Individual provider Active NPI

Jon Wirshels, MSN, FNP-BC

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1467076158
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27892 Issued in TN
Practice address
608 Montezuma Rd
Kingsport, TN 37664-4247
Phone
(423) 297-2696
NPI assigned
May 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27892 TN Primary
Registered Nurse 163W00000X 193226 TN
Family Nurse Practitioner 363LF0000X 0024180462 VA

Addresses

Primary practice location

608 Montezuma Rd
Kingsport, TN 37664-4247

Mailing address

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

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
I20210106001005 TN Practitioner - Nurse Practitioner 2466865795 Reassigns benefits to 3 organizations
I20220314000743 VA Practitioner - Nurse Practitioner 2466865795 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians

Practice addresses (Care Compare)

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181

Hospital & facility affiliations

  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
  • Twin County Regional Hospital Hospital, Galax, VA, CCN 490115
  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
  • Smyth County Community Hospital Hospital, Marion, VA, CCN 490038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
193226TNMDRegistered Nurse
0024180462VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Intensivist Services PC CurrentSince Aug 31, 2022 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC CurrentSince Feb 8, 2022 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Jan 3, 2021 Accepting new patients
Southeastern Physician Services PC CurrentSince Mar 1, 2024 Accepting new patients
Instacare PLLC CurrentSince May 1, 2021 Accepting new patients
Emergency Coverage, LLC CurrentSince Jul 6, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jan 3, 2021 Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

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

130 W Ravine Rd
Ste 3A
Kingsport, TN 37660
Phone (423) 224-3220

1532 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 353-1175

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1467076158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MONTEZUMA RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644247",
            "telephone_number": "423-297-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRSHELS",
        "first_name": "JON",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27892",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "193226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.