Individual provider Active NPI

Alice Myers, APN

  • Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1679560312
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN64748 Issued in TN
Practice address
401 E Main St
Johnson City, TN 37601-4877
Phone
(423) 929-2548
Fax
(423) 722-2060
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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 RN64748 TN Primary

Addresses

Primary practice location

401 E Main St
Johnson City, TN 37601-4877

Mailing address

401 E Main St
Johnson City, TN 37601-4877
Phone (423) 929-2548

Other identifiers 1

IdentifierTypeStateIssuer
RN64748OtherTNNURSING LICENSE

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
I20080528000205 TN Practitioner - Nurse Practitioner 7618047028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Care PLLCGroup PAC ID 1850448580, 40 clinicians

Practice addresses (Care Compare)

401 E Main St
Johnson City, TN 37601-4877
Phone (423) 929-2584

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Johnson City, TN, CCN 447422
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as group
Quality
86.98
Promoting interoperability
92
Improvement activities
40
Cost
80.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5910TNMDPharmacist
RN64748TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care PLLC CurrentSince Jul 1, 2009 Accepting new patients
Medical Care LLC Past Accepting new patients
Karing Hearts Cardiology, PLLC Past Accepting new patients

Locations

401 E Main St
Johnson City, TN 37601
Phone (423) 722-2062

132 Old Gray Station Rd
Johnson City, TN 37615
Phone (423) 467-8001

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1679560312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014877",
            "telephone_number": "423-929-2548",
            "fax_number": "423-722-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014877",
            "telephone_number": "423-929-2548",
            "fax_number": "423-722-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ALICE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN64748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "RN64748",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.