Kyrstyn Nichole McNeill, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN0000023956 Issued in TN

Practice address

1650 Bonnie LN Ste 102
Cordova, TN 38016-0517

Phone

(901) 756-2424

Fax

(901) 756-7504

NPI assigned

Mar 20, 2018

Last updated

Sep 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Foner Med, PLLCGroup PAC ID 2860785052, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15660/brand/1/csg/1/fhir/r4

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.

• Foner Med, PLLC

  dba Care Memphis Clinic

  • Primary Care Clinic/Center
  • Memphis, TN
  • NPI 1396192746
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662768000000",
    "number": "1629572268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 BLUE RIDGE DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726599",
            "telephone_number": "901-692-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BONNIE LN STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160517",
            "telephone_number": "901-756-2424",
            "fax_number": "901-756-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "KYRSTYN",
        "middle_name": "NICHOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000023956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristan McKenzie, P.HD., LPC-MHSP, NCC
• Angela Paige McKnight, FNP-BC
• Rochelle Louise McLarty, MSN, PMHNP-BC
• Elizabeth McMahon, MA, CCC-SLP
• Sherry Vanessa McMillan
• Ricky Lane McPhail, PH.D.
• John D McVean, D.D.S.
• Melani Denise Meacham, MA, LPC-T, NCC
• Brooke Alyse Meadow, RBT
• Derrick Meadow, APRN, PMHNP-BC, CNL

• Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.