Individual provider Active NPI

Benjamin Seth Chaffins, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1629524855
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21482 Issued in TN
Practice address
9330 Park West Blvd
Suite 100
Knoxville, TN 37923-4308
Phone
(865) 373-7942
Fax
(865) 373-7235
NPI assigned
Aug 28, 2016
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21482 TN Primary

Addresses

Primary practice location

9330 Park West Blvd
Suite 100
Knoxville, TN 37923-4308

Mailing address

9330 Parkwest Boulevard
Suite 100
Knoxville, TN 37923
Phone (865) 373-7942

Other identifiers 1

IdentifierTypeStateIssuer
Q023938MedicaidTN

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
I20161019003099 TN Practitioner - Nurse Practitioner 0345148375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554

576 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5676

6600 Nightingale LN
Knoxville, TN 37909-2754
Phone (865) 632-5885

9330 Park W Blvd
Suite 200
Knoxville, TN 37923-4310
Phone (865) 373-5100

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1974

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.78 of 100Reported as individual
Quality
79.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21482TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. CurrentSince Aug 13, 2016 Accepting new patients
Covenant Medical Group, Inc CurrentSince Aug 13, 2016 Accepting new patients

Locations

9125 Cross Park Dr
Ste 200
Knoxville, TN 37923
Phone (865) 632-5900

9320 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-7100

9330 Park West Blvd
Ste 100
Knoxville, TN 37923
Phone (865) 373-7942

Dept 888179
Knoxville, TN 37995

689 Medical Park Dr
Ste 101
Lenoir City, TN 37772
Phone (865) 271-6580

689 Medical Park Dr
Ste 301
Lenoir City, TN 37772
Phone (865) 988-6330

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1629524855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 PARKWEST BOULEVARD",
            "address_2": "SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-373-7942",
            "fax_number": "865-373-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD",
            "address_2": "SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234308",
            "telephone_number": "865-373-7942",
            "fax_number": "865-373-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFINS",
        "first_name": "BENJAMIN",
        "middle_name": "SETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023938",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.