Madison Witt

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

29706 Issued in TN

Practice address

252 Cherokee Professional Park
Maryville, TN 37804-5153

Phone

(865) 980-5200

Fax

(865) 980-5201

NPI assigned

Jul 13, 2020

Last updated

Oct 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Care Partners of East Tennessee PLLCGroup PAC ID 4486801982, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
• Shannondale of Maryville Health Care Center Nursing home, Maryville, TN, CCN 445472

Merit-based Incentive Payment System (MIPS)

Final score

81.56 of 100Reported as apm

Quality

52.91

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwitt872817@direct.ghs.myhfn.org

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.

• Senior Care Partners of East Tennessee, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Maryville, TN
  • NPI 1750639241
  Medicare reassignment Care Compare group NPD
• Housecall Primary Care, PLLC

  dba Senior Care Specialty

  • Internal Medicine Physician
  • Maryville, TN
  • NPI 1578956710
  Medicare reassignment NPD

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

• Covenant Living at Shannondale

  dba Shannondale of Maryville

  • Skilled Nursing Facility
  • Maryville, TN
  • NPI 1396742334

  Nursing home

  Care Compare affiliation
• Prisma Health - Blount Memorial Hospital Inc.

  dba Blount Memorial Hospital

  • General Acute Care Hospital
  • Maryville, TN
  • NPI 1619939071
  Care Compare affiliation

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1689292948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CHEROKEE PROFESSIONAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045153",
            "telephone_number": "865-980-5200",
            "fax_number": "865-980-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CHEROKEE PROFESSIONAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045153",
            "telephone_number": "865-980-5200",
            "fax_number": "865-980-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "229806",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q068076",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Allison Winbigler, M.D.
• Mariah Michelle Winningham, FNP-C
• Deborah Winoker, LCSW
• Sarah Nicole Winstead, CCC-SLP
• Suzanne Marie Winzenburg, PHMNP-BC, FNP-BC
• Stephanie Witt, M.ED
• Wayne R. Witt, DDS
• Devin Matthew Wolfenbarger, RRT-ACCS
• Melia Womac, PT
• Jordan Dabney Womack

• Family Nurse Practitioner in Maryville, TN
• Providers in Maryville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.