Individual provider Active NPI

Mandy Stephens, FNP

  • Family Nurse Practitioner
  • Powell, TN
National Provider Identifier
1497579916
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36385 Issued in TN
Practice address
7650 Dannaher Dr
Powell, TN 37849-4065
Phone
(865) 637-8635
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 36385 TN Primary

Addresses

Primary practice location

7650 Dannaher Dr
Powell, TN 37849-4065

Mailing address

103 Morris LN
Oak Ridge, TN 37830-7505
Phone (865) 235-8585

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
I20250113002653 TN Practitioner - Nurse Practitioner 3779011143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Medical Associates PCGroup PAC ID 9830163856, 7 clinicians

Practice addresses (Care Compare)

7650 Dannaher Dr
Suite 200
Powell, TN 37849-4066
Phone (865) 637-8635

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36385TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Transitions, PLLC CurrentSince Sep 9, 2025 Accepting new patients
Renuven Aco PLLC CurrentSince Sep 9, 2025 Accepting new patients
Renal Medical Associates PC CurrentSince Dec 1, 2024 Accepting new patients
Renuven Health Partners of Georgia PC Past Accepting new patients

Locations

3107 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 979-0000

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

9314 Park West Blvd
Ste 300
Knoxville, TN 37923
Phone (865) 690-9475

809 E Emerald Ave
Knoxville, TN 37917
Phone (865) 524-7366

7650 Dannaher Dr
Ste 200
Powell, TN 37849
Phone (865) 637-8635

Interoperability endpoints

  • Direct secure messaging: mstephens70582@direct.acumenmd.com

Organizations & group practices 4

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 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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1497579916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MORRIS LN",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307505",
            "telephone_number": "865-235-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 DANNAHER DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494065",
            "telephone_number": "865-637-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MANDY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.