Individual provider Active NPI

Phillip Matthew Reagan, CRNA

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
National Provider Identifier
1558797142
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
142151 Issued in TN
Practice address
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone
(865) 305-9220
NPI assigned
Sep 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 142151 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Mailing address

PO Box 51947
Knoxville, TN 37950-1947
Phone (865) 588-0880

Other practice location 1

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 977-5760

Other identifiers 1

IdentifierTypeStateIssuer
1533718MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131114001558 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618103912 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Tennessee, HSC, College of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Resource Anesthesia, P.C.Group PAC ID 1254228141, 71 clinicians
Invigilo Anesthesia IncGroup PAC ID 1658757596, 7 clinicians
Priority Anesthesia, LLCGroup PAC ID 0446300073, 26 clinicians
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians
Covenant Anesthesia Group PCGroup PAC ID 6901795830, 231 clinicians

Practice addresses (Care Compare)

256 Fort Sanders W Blvd
Unit 8
Knoxville, TN 37922-3355
Phone (865) 558-4400

460 Medical Park Dr
Suite 104
Lenoir City, TN 37772-5782
Phone (865) 562-3232

4713 Papermill Dr
Suite 100
Knoxville, TN 37909-1924
Phone (423) 226-2479

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 980-4897

990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone (865) 835-3560

Hospital & facility affiliations

  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
58.61
Promoting interoperability
92
Improvement activities
40
Cost
73.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Anesthesia Group, PC CurrentSince Jul 1, 2017 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2013 Accepting new patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Invigilo Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Pcet Surgery Center LLC CurrentSince Jul 15, 2023 Accepting new patients
Priority Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 21, 2025 Accepting new patients
Blount Memorial Physician Group, Inc CurrentSince Oct 1, 2023 Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients

Locations

1600 Accelerator Way
Ste 100
Knoxville, TN 37920
Phone (865) 264-3404

256 Fort Sanders West Blvd
Knoxville, TN 37922
Phone (865) 244-4580

256 Fort Sanders West Blvd
Unit 8
Knoxville, TN 37922

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

1540 Member Ln
Ste 110
Knoxville, TN 37909
Phone (865) 934-2575

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1346 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 330-6320

4713 Papermill Dr
Ste 100
Knoxville, TN 37909
Phone (865) 851-7771

Dept 888089
Knoxville, TN 37995

550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772

460 Medical Park Dr
Ste 104
Lenoir City, TN 37772
Phone (865) 562-3232

463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1639 W Morris Blvd
Morristown, TN 37813
Phone (423) 586-0341

90 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-8880

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1558797142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51947",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379501947",
            "telephone_number": "865-588-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 E Lamar Alexander Pkwy",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378045015",
            "country_code": "US",
            "telephone_number": "865-977-5760",
            "fax_number": "865-977-4788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "PHILLIP",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "142151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1533718",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.