Individual provider Active NPI

Justin Cody Bell, NP-C

  • Nurse Practitioner
  • Crossville, TN
National Provider Identifier
1669880605
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0000018907 Issued in TN
Practice address
29 Taylor Ave
Suite 101
Crossville, TN 38555
Phone
(931) 484-6061
Fax
(931) 484-6062
NPI assigned
Jul 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0000018907 TN Primary

Addresses

Primary practice location

29 Taylor Ave
Suite 101
Crossville, TN 38555

Mailing address

29 Taylor Ave
Suite 101
Crossville, TN 38555-4527
Phone (931) 484-6061

Other practice location 1

303 N Oak Ave
Cookeville, TN 38501-2439
Phone (931) 484-6061

Other identifiers 4

IdentifierTypeStateIssuer
Q007258MedicaidTN
1669880605OtherTNNPI
APN18907OtherTNADVANCED PRACTICE NURSE
RN01652213OtherTNRN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address justinb@cumberland.emadirect.md Health Information Exchange (HIE)

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
I20141021002573 TN Practitioner - Nurse Practitioner 0749401404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Skin Surgery and Dermatology 55 clinicians

Practice addresses (Care Compare)

485 N Chancery St
Suite B
McMinnville, TN 37110-2005
Phone (931) 304-8585

Merit-based Incentive Payment System (MIPS)

Final score
93.64 of 100Reported as group
Quality
86.4
Promoting interoperability
94
Improvement activities
40
Cost
97.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000018907TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Dermatology, P.C. CurrentSince Jun 1, 2015 Accepting new patients
Cumberland Skin Surgery and Dermatology CurrentSince Feb 28, 2025 Accepting new patients
Advanced Sleep Consultants of Middle TN, Inc Past Accepting new patients

Locations

303 N Oak Ave
Cookeville, TN 38501
Phone (931) 484-6061

120 Walnut Commons Ln
Ste B
Cookeville, TN 38501
Phone (931) 528-2557

567 S Willow Ave
Cookeville, TN 38501
Phone (931) 250-1932

29 Taylor Ave
Ste 101
Crossville, TN 38555
Phone (931) 484-6061

107 Glidepath Way
Lebanon, TN 37090
Phone (615) 449-5771

485 N Chancery St
Ste B
McMinnville, TN 37110
Phone (931) 304-8585

Interoperability endpoints

  • Direct secure messaging: justin.bell@qdp.emadirect.md

Organizations & group practices 3

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1669880605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TAYLOR AVE",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554527",
            "telephone_number": "931-484-6061",
            "fax_number": "931-484-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TAYLOR AVE",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "931-484-6061",
            "fax_number": "931-484-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012439",
            "country_code": "US",
            "telephone_number": "931-484-6061",
            "fax_number": "931-484-6062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "JUSTIN",
        "middle_name": "CODY",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "0000018907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007258",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669880605",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE",
            "identifier": "APN18907",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN01652213",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justinb@cumberland.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Modernizing Medicine Direct Mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29 Taylor Ave",
            "address_2": "Suite 101",
            "city": "Crossville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "38555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.