Individual provider Active NPI

Stenson Reagan Simms, NP

  • Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1770218877
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
32087 Issued in TN
Practice address
500 McFarland St Ste D
Morristown, TN 37814-3992
Phone
(423) 839-2525
Fax
(423) 839-2424
NPI assigned
Jul 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 32087 TN Primary

Addresses

Primary practice location

500 McFarland St Ste D
Morristown, TN 37814-3992

Mailing address

500 McFarland St Ste D
Morristown, TN 37814-3992
Phone (423) 839-2525

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
I20220825002194 TN Practitioner - Nurse Practitioner 7012391089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 908-3608

Hospital & facility affiliations

  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Volunteer Primary Care, LLC CurrentSince Oct 5, 2024 Accepting new patients
App of Tennessee Ed, PLLC Nurse Practitioner CurrentSince Jun 17, 2023 Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

127 W Macon Ln
Ste 2
Seymour, TN 37865
Phone (865) 268-5009

Interoperability endpoints

  • Direct secure messaging: stenson.simms.1@31466.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26314/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770218877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MCFARLAND ST STE D",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143992",
            "telephone_number": "423-839-2525",
            "fax_number": "423-839-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MCFARLAND ST STE D",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143992",
            "telephone_number": "423-839-2525",
            "fax_number": "423-839-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "STENSON",
        "middle_name": "REAGAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "32087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.