Individual provider Active NPI

Misty Dawn Cottrell, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1679128243
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26262 Issued in TN
Practice address
8635 Middlebrook Pike
Knoxville, TN 37923-1612
Phone
(865) 824-0079
Fax
(833) 908-2101
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 26262 TN Primary

Addresses

Primary practice location

8635 Middlebrook Pike
Knoxville, TN 37923-1612

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

Other practice location 1

100 Vermont Ave
Oak Ridge, TN 37830-6471
Phone (865) 482-1777

Other identifiers 1

IdentifierTypeStateIssuer
Q055968MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cotton.misty@covenanthealth.cernerdirect.com

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
I20191119001851 TN Practitioner - Nurse Practitioner 3779915491 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

8635 Middlebrook Pike
Knoxville, TN 37923-1612
Phone (865) 824-0033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26262TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Feb 25, 2025 Accepting new patients
DX Mso, PLLC CurrentSince Sep 14, 2019 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Apr 12, 2021 Accepting new patients
Covenant Medical Group, Inc CurrentSince Apr 12, 2021 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 25, 2025 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

9330 Park West Blvd
Ste 402
Knoxville, TN 37923
Phone (865) 690-3003

1400 Centerpoint Blvd
Ste 158
Knoxville, TN 37932

8635 Middlebrook Pike
Knoxville, TN 37923
Phone (865) 824-0079

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

2001 Laurel Ave
Ste 201
Knoxville, TN 37916
Phone (865) 522-3355

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

Dept 888179
Knoxville, TN 37995

423 Medical Park Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 271-6600

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

100 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-1777

103 Bennett Rd
Oliver Springs, TN 37840
Phone (865) 435-1933

Interoperability endpoints

  • Direct secure messaging: misty.cottrell.1@20785.direct.athenahealth.com

Organizations & group practices 8

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1679128243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 MIDDLEBROOK PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231612",
            "telephone_number": "865-824-0079",
            "fax_number": "833-908-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306471",
            "country_code": "US",
            "telephone_number": "865-482-1777",
            "fax_number": "865-374-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q055968",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cotton.misty@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "Internal Medicine West",
            "address_2": "9330 Park West Blvd. Suite 402",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.