Individual provider Active NPI

Irina Kopt-Abrams, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1659342087
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20829 Issued in SC
Practice address
4320 Ball Camp Pike
Knoxville, TN 37921
Phone
(865) 544-1550
Fax
(865) 544-1570
NPI assigned
Feb 1, 2006
Last updated
Jun 25, 2025By the provider in NPPES
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
Nurse Practitioner 363L00000X APN0000007438 TN
Family Nurse Practitioner 363LF0000X 20829 SC Primary

Addresses

Primary practice location

4320 Ball Camp Pike
Knoxville, TN 37921

Mailing address

225 Kirkwall Lane
Knoxville, TN 37909
Phone (865) 544-1550

Other identifiers 2

IdentifierTypeStateIssuer
3725012MedicaidTN
3909908MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250630001151 SC Practitioner - Nurse Practitioner 6305750860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindwell LLCGroup PAC ID 9931578606, 6 clinicians

Practice addresses (Care Compare)

16 Mills Ave
Suite 6
Greenville, SC 29605-4065
Phone (864) 735-8080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000007438TNMDNurse Practitioner
20829SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwell LLC CurrentSince May 1, 2025 Accepting new patients
Sallie Early Healthcare Services Past Accepting new patients
Cleveland Medical Clinic Inc Past Accepting new patients

Locations

700 S Walnut St
Seymour, IN 47274

4126 Clemson Blvd
Ste 2C
Anderson, SC 29621
Phone (678) 372-0985

16 Mills Ave
Ste 6
Greenville, SC 29605
Phone (864) 242-5678

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1659342087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 KIRKWALL LANE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37909",
            "telephone_number": "865-544-1550",
            "fax_number": "865-544-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 BALL CAMP PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37921",
            "telephone_number": "865-544-1550",
            "fax_number": "865-544-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPT-ABRAMS",
        "first_name": "IRINA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000007438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3725012",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3909908",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.