Felecia Gail Abdelfattah, APRN BC
Individual provider Active NPI Family Nurse Practitioner · Bristol, TN
NPI 1497768451 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1497768451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7668 (TN)
- Practice address
- 1145 Volunteer Pkwy
Bristol, TN 37620-4652 - Phone
- (423) 989-4500
- Fax
- (423) 989-4582
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Frontier Health
Practice addresses (Care Compare)
26 Midway St
Bristol, TN 37620-1706
Phone (423) 467-3600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031210000802 | TN | Practitioner - Nurse Practitioner | 9931013935 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7668 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Health | Current |
Accepting new patients | |
| Frontier Health | Current |
Accepting new patients | |
| Wellmont Physician Services Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
26 Midway St
Bristol, TN 37620
Phone (423) 989-4500
1145 Volunteer Pkwy
Bristol, TN 37620
Phone (423) 989-4500
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
218 N Main Ave
Erwin, TN 37650
Phone (423) 741-8263
401 Holston Dr
Greeneville, TN 37743
Phone (423) 639-1104
607 Baxter St
Johnson City, TN 37601
Phone (423) 232-2670
1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670
109 W Watauga Ave
Johnson City, TN 37604
Phone (423) 232-2600
1570 Waverly Rd
Kingsport, TN 37664
Phone (423) 224-1300
318 Donnelly St
Mountain City, TN 37683
Phone (423) 727-2100
101 Lena Dr
Rogersville, TN 37857
Phone (423) 272-9239
210 River Rd
Sneedville, TN 37869
Phone (423) 733-2061
43 Champions Ave
Big Stone Gap, VA 24219
Phone (276) 523-0682
1431 Duff Patt Hwy
Duffield, VA 24244
Phone (276) 431-4370
34084 Wilderness Rd
Jonesville, VA 24263
430 Industrial Dr
Pennington Gap, VA 24277
Phone (276) 546-4357
1006 US Highway 23 North
Weber City, VA 24290
Phone (276) 225-0976
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024164353 | VA | |
| Family Nurse Practitioner | 363LF0000X | 7668 | TN | Yes |
Addresses
Primary practice location
1145 Volunteer Pkwy
Bristol, TN 37620-4652
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3349063 | Medicaid | TN | |
| 351654200 | Other | DOL WORKERS COMP | |
| 620582605 | Other | INITIAL GROUP | |
| 620582605 | Other | MENTAL HEALTH NETW | |
| 334969 | Other | VALUE OPTIONS | |
| 620582605BE | Other | UBH JOHN DEERE | |
| 620582605 | Other | PHCS | |
| 3729687 | Medicaid | TN | |
| 620582605 | Other | THREE RIVERS PROVI | |
| 620582605 | Other | TRICARE SOUTH | |
| 620582605 | Other | HIGHLANDS WELLMONT | |
| 188508 | Other | COMPSYCH |
Other providers in Bristol, TN
- A Loving Hand Home Care Services
- Anisa Abdosh
- Ragaa Abdulmoniem
- Seth Patrick Achey
- Annalee Adams
- Emily Adams
All providers in Bristol, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.