Individual provider Active NPI

Jane Mburu

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1609589779
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0001314624 Issued in VA
Practice address
265 Brookview Centre Way Ste 203
Knoxville, TN 37919-4053
Phone
(276) 601-6197
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 0001314624 VA Primary

Addresses

Primary practice location

265 Brookview Centre Way Ste 203
Knoxville, TN 37919-4053

Mailing address

265 Brookview Centre Way Ste 203
Knoxville, TN 37919-4052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230328000554 VA Practitioner - Nurse Practitioner 6800260134 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Pac Services PCGroup PAC ID 4587930672, 20 clinicians
Ascension Psychiatric Services LLCGroup PAC ID 0840723557, 6 clinicians

Practice addresses (Care Compare)

15051 Harmony Hills LN
Abingdon, VA 24211-7661
Phone (276) 451-2590

15089 Harmony Hills LN
Abingdon, VA 24211-7661
Phone (276) 619-4572

6800 Lucy Corr CT
Chesterfield, VA 23832-6657
Phone (804) 748-1511

903 W Broadway
Hopewell, VA 23860-2536
Phone (757) 373-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001314624VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Psychiatric Services LLC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Exceptional Healthcare LLC Psychiatric/Mental Health Current Accepting new patients
Virginia Pac Services PC Single Specialty CurrentSince Mar 7, 2023 Accepting new patients
CS Pacs 3 Southeast, LLC Single Specialty CurrentSince Sep 9, 2024 Accepting new patients
NV Pacs 2 LLC Single Specialty CurrentSince Mar 7, 2023 Accepting new patients
Transformation Health Services LLC Single Specialty CurrentSince Aug 15, 2024 Accepting new patients
Transformation Health Services LLC Psychiatric/Mental Health Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

903 W Broadway
Hopewell, VA 23860
Phone (757) 373-1913

1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660

831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345

508 S Independence Blvd
Ste 200
Virginia Beach, VA 23452
Phone (757) 490-6463

Organizations & group practices 7

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": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1609589779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194053",
            "telephone_number": "276-601-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBURU",
        "first_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001314624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.