Individual provider Active NPI

Cydney Vanosdale, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1487002432
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20069 Issued in TN
Practice address
9330 Park West Blvd Ste 508
Knoxville, TN 37923-4313
Phone
(865) 694-9676
Fax
(865) 588-3742
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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 20069 TN Primary

Addresses

Primary practice location

9330 Park West Blvd Ste 508
Knoxville, TN 37923-4313

Mailing address

PO Box 52948
Knoxville, TN 37950-2948
Phone (865) 306-5700

Other identifiers 1

IdentifierTypeStateIssuer
Q062473MedicaidTN

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
I20190718002346 TN Practitioner - Nurse Practitioner 9638404205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Surgical Associates PLLCGroup PAC ID 1254224181, 61 clinicians

Practice addresses (Care Compare)

9330 Park W Blvd
Suite 508
Knoxville, TN 37923-4313
Phone (865) 694-9676

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
64.09
Promoting interoperability
98
Improvement activities
40
Cost
77.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Surgical Associates, PLLC CurrentSince Nov 28, 2023 Accepting new patients
Premier Surgical Associates, PLLC CurrentSince Nov 28, 2023 Accepting new patients

Locations

10810 Parkside Dr
Ste 305
Knoxville, TN 37934
Phone (865) 392-3971

6408 Papermill Dr
Ste 220
Knoxville, TN 37919
Phone (865) 306-5675

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

9430 Park West Blvd
Ste 310
Knoxville, TN 37923
Phone (865) 984-3413

9330 Park West Blvd
Ste 508
Knoxville, TN 37923
Phone (865) 691-1115

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71045

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1487002432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52948",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379502948",
            "telephone_number": "865-306-5700",
            "fax_number": "865-584-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD STE 508",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234313",
            "telephone_number": "865-694-9676",
            "fax_number": "865-588-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOSDALE",
        "first_name": "CYDNEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q062473",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.