Individual provider Active NPI

Mary Gentry

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1578009486
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21201 Issued in TN
Practice address
1940 Alcoa Hwy Ste E260
Knoxville, TN 37920-2266
Phone
(865) 305-6955
Fax
(865) 305-8238
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000021201 TN
Family Nurse Practitioner 363LF0000X 21201 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy Ste E260
Knoxville, TN 37920-2266

Mailing address

PO Box 415000-Msc8150
Nashville, TN 37930
Phone (865) 670-6199

Other practice location 1

314 Prosperity Rd
Knoxville, TN 37923-4710
Phone (865) 691-8011

Other practice location 2

1940 Alcoa Hwy Ste E310
Knoxville, TN 37920-2267
Phone (865) 544-2800

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
I20170419003046 TN Practitioner - Nurse Practitioner 9638455025 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
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1940 Alcoa Hwy
Knoxville, TN 37920-2263
Phone (865) 305-6810

1940 Alcoa Hwy E 260
Knoxville, TN 37920-2263
Phone (865) 524-7471

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

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

State licenses

LicenseStateTypeSpecialty
APN0000021201TNMDNurse Practitioner
21201TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Jul 6, 2022 Accepting new patients
Knoxville Mindful Wellness Center, LLC CurrentSince Feb 1, 2025 Accepting new patients
University Health System, Inc CurrentSince Jul 6, 2022 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

1940 Alcoa Hwy
Ste E260
Knoxville, TN 37920
Phone (865) 305-6955

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

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

1940 Alcoa Hwy
Ste 260
Knoxville, TN 37920
Phone (610) 417-9229

314 Prosperity Dr
Knoxville, TN 37923
Phone (865) 407-0071

1940 Alcoa Hwy
Ste E210
Knoxville, TN 37920
Phone (865) 524-7471

1940 Alcoa Hwy
Ste E310
Knoxville, TN 37920
Phone (865) 544-4280

Organizations & group practices 6

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1578009486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000-MSC8150",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37930",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E260",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202266",
            "telephone_number": "865-305-6955",
            "fax_number": "865-305-8238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 Prosperity Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234710",
            "country_code": "US",
            "telephone_number": "865-691-8011",
            "fax_number": "865-531-6587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 Alcoa Hwy Ste E310",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379202267",
            "country_code": "US",
            "telephone_number": "865-544-2800",
            "fax_number": "865-544-6812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000021201",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.