Individual provider Active NPI

Melanie Coleen Mixon, PNP

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1699760199
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN129000 Issued in TN
Practice address
801 N Weisgarber Rd
Suite 200
Knoxville, TN 37909-2706
Phone
(865) 584-8588
Fax
(865) 584-3364
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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 RN129000 TN Primary
Pediatric Nurse Practitioner 363LP0200X 8101 TN

Addresses

Primary practice location

801 N Weisgarber Rd
Suite 200
Knoxville, TN 37909-2706

Mailing address

6701 Baum Dr
Suite140
Knoxville, TN 37919-7360
Phone (865) 584-5727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000442 TN Practitioner - Nurse Practitioner 1052437506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.55 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
60.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8101TNMDDentist
RN129000TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, P.a. CurrentSince Jun 17, 2024 Accepting new patients

Locations

801 N Weisgarber Rd
Knoxville, TN 37909

7323 Chapman Hwy
Ste 140
Knoxville, TN 37920
Phone (865) 313-2615

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 848-5888

2070 Willow Loop Way
Knoxville, TN 37922
Phone (865) 200-4849

6701 Baum Dr
Ste 140
Knoxville, TN 37919

611 Morganton Square Dr
Maryville, TN 37801
Phone (865) 982-7711

7560 Dannaher Dr
Ste 100
Powell, TN 37849
Phone (800) 600-7551

Organizations & group practices 1

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1699760199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BAUM DR",
            "address_2": "SUITE140",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197360",
            "telephone_number": "865-584-5727",
            "fax_number": "865-450-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092706",
            "telephone_number": "865-584-8588",
            "fax_number": "865-584-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "MELANIE",
        "middle_name": "COLEEN",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN129000",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "8101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.