Laurel Wieland Bivens, APRN
Individual provider Active NPI Acute Care Nurse Practitioner · Oak Ridge, TN
NPI 1699286013 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1699286013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 22734 (TN)
- Practice address
- 988 Oak Ridge Tpke Ste 350
Oak Ridge, TN 37830-6964 - Phone
- (865) 481-0333
- Fax
- (865) 374-2111
- NPI assigned
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Medical Group Inc
Practice addresses (Care Compare)
501 20TH St
Suite 503
Knoxville, TN 37916-1832
Phone (865) 541-4321
Hospital & facility affiliations
- Methodist Medical Center of Oak Ridge
- Fort Sanders Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180202001243 | TN | Practitioner - Nurse Practitioner | 4981964376 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Homecare | Current |
Accepting new patients | |
| Statcare Outpatient, LLC | Nurse Practitioner | Current |
Accepting new patients |
| University Health System Inc | Current |
Accepting new patients | |
| Covenant Medical Group, Inc. | Current |
Accepting new patients | |
| Covenant Medical Group, Inc | Current |
Accepting new patients | |
| University Health System, Inc | Current |
Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| Statcare Inpatient LLC | Nurse Practitioner | Current |
Accepting new patients |
| Covenant Homecare | Current |
Accepting new patients |
Locations
1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000
501 20th St
Ste 503
Knoxville, TN 37916
Phone (865) 331-4321
2240 Sutherland Ave
Ste 103
Knoxville, TN 37919
Phone (865) 934-6100
3003 Lake Brook Blvd
Ste 101
Knoxville, TN 37909
10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540
Dept 888179
Knoxville, TN 37995
1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111
9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
988 Oak Ridge Tpke
Ste 350
Oak Ridge, TN 37830
Phone (423) 483-7030
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 22734 | TN | |
| Acute Care Nurse Practitioner | 363LA2100X | 22734 | TN | Yes |
Addresses
Primary practice location
988 Oak Ridge Tpke Ste 350
Oak Ridge, TN 37830-6964
Mailing address
3001 Lake Brook Blvd Ste 101
Knoxville, TN 37909-3761
Phone (865) 374-0600
Other practice location 1
501 20th St Ste 503
Knoxville, TN 37916
Phone (865) 331-4321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q034220 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bivens.laurel@covenanthealth.cernerdirect.com |
Other providers in Oak Ridge, TN
- Heather C Beverly
- Renu Bhateja
- Raiyan Bhuiyan
- Helen Susan Bidawid
- Bio-Medical Applications of Tennessee, Inc.
- Laura Lynn Black
- Kenneth Blaine Blair
- Michael David Blair
- Joanna Gabriel Blankner
- Davina S Blazer
All providers in Oak Ridge, TN · Acute Care Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.