Individual provider Active NPI

Mary Keller Brown, FNP

  • Nurse Practitioner
  • Vonore, TN
National Provider Identifier
1730564113
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20177 Issued in TN
Practice address
1206 Highway 411
Vonore, TN 37885-2455
Phone
(423) 884-7271
Fax
(423) 884-3277
NPI assigned
Jul 27, 2015
Last updated
Jul 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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 20177 TN Primary

Addresses

Primary practice location

1206 Highway 411
Vonore, TN 37885-2455

Mailing address

1206 Highway 411
Vonore, TN 37885-2455
Phone (423) 884-7271

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
I20160629001020 TN Practitioner - Nurse Practitioner 3476731548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chota Community Health ServicesGroup PAC ID 9436130135, 19 clinicians

Practice addresses (Care Compare)

1206 Hwy 411
Vonore, TN 37885-2455
Phone (423) 884-7271

3128 Hwy 411
Madisonville, TN 37354
Phone (423) 442-2622

4798 New Hwy 68
Madisonville, TN 37354-1287
Phone (423) 442-2622

PO Box
Suite 278
Madisonville, TN 37354

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20177TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chota Community Health Services CurrentSince Apr 16, 2016 Accepting new patients
Chota Community Health Services Nurse Practitioner CurrentSince Apr 16, 2016 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Chota Community Health Services Current Accepting new patients

Locations

1000 Green Rd
Madisonville, TN 37354
Phone (423) 442-2454

175 Oak Grove Rd
Madisonville, TN 37354
Phone (423) 442-4137

268 Warren St
Madisonville, TN 37354
Phone (423) 442-2236

3128 Highway 411
Madisonville, TN 37354
Phone (423) 442-9230

4798 New Highway 68
Madisonville, TN 37354
Phone (423) 884-7271

414 S High St
Sweetwater, TN 37874
Phone (423) 337-7881

120 Old High School Rd
Tellico Plains, TN 37385
Phone (423) 253-2250

121 Old High School Rd
Tellico Plains, TN 37385
Phone (423) 253-3875

130 Ruritan Rd
Tellico Plains, TN 37385
Phone (423) 261-2241

145 Fifth St
Tellico Plains, TN 37385
Phone (423) 253-6545

395 Daugherty Spring Rd
Tellico Plains, TN 37385
Phone (423) 253-3551

9180 New Highway 68
Tellico Plains, TN 37385
Phone (423) 253-7005

1135 Highway 411
Vonore, TN 37885

1206 Highway 411
Vonore, TN 37885
Phone (423) 884-7271

414 Hall St
Vonore, TN 37885
Phone (423) 884-2730

Interoperability endpoints

  • Direct secure messaging: mary.brown@direct.chota.nextgenshare.com
  • Direct secure messaging: marybrown@tnmhpf.allscriptsdirect.net

Organizations & group practices 4

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 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": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1730564113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 HIGHWAY 411",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852455",
            "telephone_number": "423-884-7271",
            "fax_number": "423-884-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HIGHWAY 411",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852455",
            "telephone_number": "423-884-7271",
            "fax_number": "423-884-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARY",
        "middle_name": "KELLER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "20177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vonore, TN

Sources for this page

Verify at the official NPI Registry.