Individual provider Active NPI

Chelsea M Hearn

  • Primary Care Nurse Practitioner
  • Sevierville, TN
National Provider Identifier
1487163549
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
23026 Issued in TN
Practice address
1105 Oak Cluster Dr
Sevierville, TN 37862-6079
Phone
(865) 366-4070
Fax
(865) 366-3720
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 23026 TN
Primary Care Nurse Practitioner 363LP2300X 23026 TN Primary

Addresses

Primary practice location

1105 Oak Cluster Dr
Sevierville, TN 37862-6079

Mailing address

1105 Oak Cluster Dr
Sevierville, TN 37862-6079
Phone (865) 366-4070

Other identifiers 1

IdentifierTypeStateIssuer
Q032184MedicaidTN

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
I20180208000354 TN Practitioner - Nurse Practitioner 9335409515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite 270
Knoxville, TN 37920-1537
Phone (865) 251-4658

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Sep 1, 2020 Accepting new patients
University Health System, Inc CurrentSince Sep 1, 2020 Accepting new patients
Well-Key Health, PLLC CurrentSince Sep 26, 2018 Accepting new patients
University Health System, Inc Current Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1932 Alcoa Hwy
Ste 270
Knoxville, TN 37920
Phone (865) 251-4658

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

5779 Creekwood Park Blvd
Ste 215
Lenoir City, TN 37772
Phone (865) 251-4658

1787 Veterans Blvd
Ste 101
Sevierville, TN 37862
Phone (865) 428-2773

Organizations & group practices 5

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 1

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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1487163549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 OAK CLUSTER DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626079",
            "telephone_number": "865-366-4070",
            "fax_number": "865-366-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 OAK CLUSTER DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626079",
            "telephone_number": "865-366-4070",
            "fax_number": "865-366-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARN",
        "first_name": "CHELSEA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "23026",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "23026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q032184",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.