Brandon Pate, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19626 Issued in TN

Practice address

1509 E Reelfoot Ave
Union City, TN 38261-5845

Phone

(731) 886-8662

NPI assigned

Jan 28, 2015

Last updated

Jan 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dyersburg Family Walk-in ClinicGroup PAC ID 5991793879, 24 clinicians

Premier Primary Care Clinic IncGroup PAC ID 6800256512, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Volunteer Community Hospital Hospital, Martin, TN, CCN 440061
• Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandon.pate.1@29257.direct.athenahealth.com

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.

• Dyersburg Family Walk-in Clinic LLC

  dba Reelfoot Family Walk-In Clinic

  • Rural Health Clinic/Center
  • Dyersburg, TN
  • NPI 1174712780
  Medicare reassignment Care Compare group NPD
• Premier Primary Care Clinic Inc

  • Family Medicine Physician
  • Martin, TN
  • NPI 1477246411
  Medicare reassignment Care Compare group NPD
• Allergy Treatment and Diagnostic Center, LLC

  • Family Nurse Practitioner
  • Dresden, TN
  • NPI 1407247935
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital- Union City Inc

  • General Acute Care Hospital
  • Union City, TN
  • NPI 1114981768
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Martin Health

  dba West Tennessee Healthcare Volunteer Hospital

  • General Acute Care Hospital
  • Martin, TN
  • NPI 1275505372
  Care Compare affiliation

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1790175867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E COURT ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380244829",
            "telephone_number": "731-285-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 E REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615845",
            "telephone_number": "731-886-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "BRANDON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles Christian Odle, PA-C
• Adrienne N Offutt
• Ok Smith Jr MD PLLC
• Scott Neill Osborne, M.D.
• Leighanne Petrencsik Paige, SLP
• Bruce Johnson Pate, DPH.
• Tammy Jo Patton, PTA
• Pauker Inpatient Services
• Paula Vassar Inc
• Pediatric Place of Union City LLC

• Family Nurse Practitioner in Union City, TN
• Providers in Union City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.