Individual provider Active NPI

Ryland Matthew Brewer, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1578051496
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
36091 Issued in TN
Practice address
1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Phone
(865) 970-9800
Fax
(865) 374-7317
NPI assigned
Apr 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 36091 TN Primary
Registered Nurse 163W00000X 200741 TN

Addresses

Primary practice location

1451 Dowell Springs Blvd
Knoxville, TN 37909-2441

Mailing address

801 Gate LN Apt 309
Knoxville, TN 37909-3539
Phone (423) 368-0485

Other practice location 1

Knoxville Center for Behavioral Medicine
1240 Tennova Medical Way
Knoxville, TN 37909
Phone (865) 444-3770 ext. 1006

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
I20240807003757 TN Practitioner - Nurse Practitioner 8123565157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chota Community Health ServicesGroup PAC ID 9436130135, 19 clinicians

Practice addresses (Care Compare)

1206 Hwy 411
Vonore, TN 37885-2455
Phone (423) 884-7271

3128 Hwy 411
Madisonville, TN 37354
Phone (423) 442-2622

4798 New Hwy 68
Madisonville, TN 37354-1287
Phone (423) 442-2622

PO Box
Suite 278
Madisonville, TN 37354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200741TNMDRegistered Nurse
36091TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chota Community Health Services CurrentSince Mar 1, 2025 Accepting new patients
Chota Community Health Services CurrentSince Mar 1, 2025 Accepting new patients
Knoxville Center for Behavioral Medicine LLC CurrentSince Jun 13, 2024 Accepting new patients
Helen Ross McNabb Center PastSince Sep 1, 2024 Accepting new patients

Locations

1240 Tennova Medical Way
Knoxville, TN 37909
Phone (865) 444-3770

4798 New Highway 68
Madisonville, TN 37354
Phone (423) 884-7271

145 Fifth St
Tellico Plains, TN 37385
Phone (423) 253-6545

1206 Highway 411
Vonore, TN 37885
Phone (423) 884-7271

Interoperability endpoints

  • Direct secure messaging: matthew.brewer.p1@direct.chota.nextgenshare.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1578051496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 GATE LN APT 309",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093539",
            "telephone_number": "423-368-0485",
            "fax_number": "865-374-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092441",
            "telephone_number": "865-970-9800",
            "fax_number": "865-374-7317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Knoxville Center for Behavioral Medicine",
            "address_2": "1240 Tennova Medical Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37909",
            "country_code": "US",
            "telephone_number": "865-444-3770 x1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "RYLAND",
        "middle_name": "MATTHEW",
        "credential": "RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "36091",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "200741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.