Individual provider Active NPI

Mattie Lee Trent, FNP

  • Family Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1649898933
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28957 Issued in TN
Practice address
2829 W Andrew Johnson Hwy
Morristown, TN 37814-3216
Phone
(423) 616-9757
Fax
(844) 309-6361
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0000230472 TN
Family Nurse Practitioner 363LF0000X 28957 TN Primary

Addresses

Primary practice location

2829 W Andrew Johnson Hwy
Morristown, TN 37814-3216

Mailing address

2829 W Andrew Johnson Hwy
Morristown, TN 37814-3216
Phone (423) 616-9757

Other practice location 1

264 Carters Valley Loop
Rogersville, TN 37857-6101
Phone (423) 754-3899

Other names 1

  • Mattie Elizabeth Lee Former name

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
I20210226000035 TN Practitioner - Nurse Practitioner 4284049198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookwell Health LLCGroup PAC ID 4981033032, 14 clinicians

Practice addresses (Care Compare)

105 W Stone Dr
Kingsport, TN 37660-3365
Phone (866) 589-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000230472TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brookwell Health LLC CurrentSince Dec 1, 2022 Accepting new patients
Brookwell Health LLC Family Past Accepting new patients

Locations

190D Saundersville Rd
Ste 4003
Hendersonville, TN 37075
Phone (866) 589-0003

709 Med Tech Pkwy
Ste 210
Johnson City, TN 37604
Phone (423) 427-2940

105 W Stone Dr
Kingsport, TN 37660
Phone (423) 307-5757

105 W Stone Dr
Ste 1B
Kingsport, TN 37660
Phone (423) 224-3555

9314 Park West Blvd
Ste 102
Knoxville, TN 37923
Phone (423) 307-5757

2829 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 307-5757

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1649898933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143216",
            "telephone_number": "423-616-9757",
            "fax_number": "844-309-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143216",
            "telephone_number": "423-616-9757",
            "fax_number": "844-309-6361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 Carters Valley Loop",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378576101",
            "country_code": "US",
            "telephone_number": "423-754-3899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRENT",
        "first_name": "MATTIE",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000230472",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTIE",
            "last_name": "LEE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.