Individual provider Active NPI

Ronald Dale Winton Jr., FNP-C

  • Primary Care Nurse Practitioner
  • Monteagle, TN
National Provider Identifier
1467737528
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F0911464 Issued in TN
Practice address
847 W Main St
Monteagle, TN 37356-7028
Phone
(931) 924-7000
Fax
(931) 728-2726
NPI assigned
Oct 19, 2011
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F0911464 TN Primary

Addresses

Primary practice location

847 W Main St
Monteagle, TN 37356-7028

Mailing address

585 Interstate Dr
Suite B
Manchester, TN 37355-3190

Other practice location 1

585 Interstate Dr
Suite B
Manchester, TN 37355-3190
Phone (931) 728-9000

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
I20120305000493 TN Practitioner - Nurse Practitioner 1759540198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murfreesboro Medical Clinic, P.a.Group PAC ID 4789589227, 176 clinicians
Jay Michael Trussler DO PCGroup PAC ID 4880630375, 8 clinicians

Practice addresses (Care Compare)

1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 867-7925

585 Interstate Dr B
Manchester, TN 37355-3191
Phone (931) 728-9000

847 W Main St
Monteagle, TN 37356-7028
Phone (931) 924-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0911464TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Michael Trussler DO PC CurrentSince Feb 1, 2012 Accepting new patients

Locations

585 Interstate Dr
Ste B
Manchester, TN 37355
Phone (931) 728-0902

847 W Main St
Monteagle, TN 37356
Phone (931) 924-7000

Interoperability endpoints

  • Direct secure messaging: dwinton@jmtdp-tn.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1467737528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 INTERSTATE DR",
            "address_2": "SUITE B",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 W MAIN ST",
            "city": "MONTEAGLE",
            "state": "TN",
            "postal_code": "373567028",
            "telephone_number": "931-924-7000",
            "fax_number": "931-728-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Interstate Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373553190",
            "country_code": "US",
            "telephone_number": "931-728-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTON",
        "first_name": "RONALD",
        "middle_name": "DALE",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "F0911464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monteagle, TN

Sources for this page

Verify at the official NPI Registry.