Individual provider Active NPI

Laurel Wieland Bivens, APRN

  • Acute Care Nurse Practitioner
  • Oak Ridge, TN
National Provider Identifier
1699286013
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
22734 Issued in 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
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22734 TN
Acute Care Nurse Practitioner 363LA2100X 22734 TN Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bivens.laurel@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
I20180202001243 TN Practitioner - Nurse Practitioner 4981964376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

501 20TH St
Suite 503
Knoxville, TN 37916-1832
Phone (865) 541-4321

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc CurrentSince Sep 1, 2021 Accepting new patients
Statcare Outpatient, LLC Nurse Practitioner CurrentSince Feb 4, 2019 Accepting new patients
Covenant Homecare CurrentSince May 29, 2023 Accepting new patients
University Health System Inc CurrentSince Sep 1, 2021 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Nov 11, 2019 Accepting new patients
Statcare Inpatient LLC Nurse Practitioner CurrentSince Jan 1, 2018 Accepting new patients
Covenant Homecare CurrentSince May 29, 2023 Accepting new patients
University Health System, Inc Current Accepting new patients
Covenant Medical Group, Inc CurrentSince Nov 11, 2019 Accepting new patients

Locations

10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

2240 Sutherland Ave
Ste 103
Knoxville, TN 37919
Phone (865) 934-6100

3003 Lake Brook Blvd
Ste 101
Knoxville, TN 37909

501 20th St
Ste 503
Knoxville, TN 37916
Phone (865) 331-4321

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Dept 888179
Knoxville, TN 37995

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

  • Direct secure messaging: bivens.laurel@covenanthealth.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1699286013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 LAKE BROOK BLVD STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093761",
            "telephone_number": "865-374-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 OAK RIDGE TPKE STE 350",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306964",
            "telephone_number": "865-481-0333",
            "fax_number": "865-374-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 20th St Ste 503",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37916",
            "country_code": "US",
            "telephone_number": "865-331-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIVENS",
        "first_name": "LAUREL",
        "middle_name": "WIELAND",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "22734",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "22734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bivens.laurel@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "501 20th St Ste 503",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.