Individual provider Active NPI

Michal Szafraniec, FNP-C

  • Family Nurse Practitioner
  • Farragut, TN
National Provider Identifier
1740711035
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000023305 Issued in TN
Practice address
11946 Kingston Pike
Farragut, TN 37934-4601
Phone
(865) 986-6563
NPI assigned
Mar 27, 2017
Last updated
Dec 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000023305 TN Primary

Addresses

Primary practice location

11946 Kingston Pike
Farragut, TN 37934-4601

Mailing address

11946 Kingston Pike
Farragut, TN 37934-4601
Phone (865) 986-6563

Other practice location 1

8787 Turnpike Dr
Suite 200
Westminster, CO 80031-7031
Phone (303) 503-4933

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
I20180208001638 TN Practitioner - Nurse Practitioner 7911267125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ado IncGroup PAC ID 9335485309, 7 clinicians

Practice addresses (Care Compare)

951 N Broad St
Tazewell, TN 37879-4323
Phone (423) 259-8661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000023305TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ado Inc. Family CurrentSince Aug 23, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Dec 4, 2017 Accepting new patients
Summit Medical Group, PLLC CurrentSince Dec 4, 2017 Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

4117 E Emory Rd
Knoxville, TN 37938
Phone (865) 922-2121

2975 Maynardville Hwy
Maynardville, TN 37807
Phone (865) 658-5353

951 N Broad St
Tazewell, TN 37879
Phone (423) 259-8661

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1740711035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11946 KINGSTON PIKE",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379344601",
            "telephone_number": "865-986-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11946 KINGSTON PIKE",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379344601",
            "telephone_number": "865-986-6563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8787 Turnpike Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800317031",
            "country_code": "US",
            "telephone_number": "303-503-4933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZAFRANIEC",
        "first_name": "MICHAL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000023305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farragut, TN

Sources for this page

Verify at the official NPI Registry.