Individual provider Active NPI

Melissa Renea Blair, FNP-BC

  • Family Nurse Practitioner
  • Sevierville, TN
National Provider Identifier
1821248717
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13636 Issued in TN
Practice address
707 Dolly Parton Pkwy
Sevierville, TN 37862-3961
Phone
(865) 453-6011
Fax
(865) 453-9839
NPI assigned
Sep 26, 2008
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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 13636 TN Primary

Addresses

Primary practice location

707 Dolly Parton Pkwy
Sevierville, TN 37862-3961

Mailing address

PO Box 34099
Knoxville, TN 37930-4099
Phone (865) 392-6060

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
I20081029000750 TN Practitioner - Nurse Practitioner 2163581554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Pulmonary and Sleep Consultants LLCGroup PAC ID 8628160462, 3 clinicians

Practice addresses (Care Compare)

108 Lovell Rd
Suite a
Knoxville, TN 37934-1903
Phone (865) 212-4744

120 Hospital Dr
Suite 260
Jefferson City, TN 37760-5283
Phone (865) 471-2573

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
90.69
Improvement activities
40
Cost
79.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13636TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Family Care PLLC CurrentSince Mar 7, 2014 Accepting new patients
The Pulmonary and Sleep Consultants, LLC CurrentSince Nov 2, 2010 Accepting new patients

Locations

412 Devonia St
Ste 201
Harriman, TN 37748
Phone (865) 882-7060

120 Hospital Dr
Ste 260
Jefferson Cty, TN 37760
Phone (423) 839-2525

108 Lovell Rd
#A
Knoxville, TN 37934

108 Lovell Rd
Ste A
Knoxville, TN 37934
Phone (865) 212-4744

108 Lovell Rd
Ste B
Knoxville, TN 37934
Phone (865) 288-7777

1508 Coleman Rd
Ste 107
Knoxville, TN 37909
Phone (865) 212-4744

689 Medical Park Dr
Ste 204
Lenoir City, TN 37772
Phone (865) 271-6670

1229 Fox Meadows Blvd
Ste 2
Sevierville, TN 37862
Phone (865) 365-4015

707 Dolly Parton Pkwy
Sevierville, TN 37862
Phone (865) 428-5614

Interoperability endpoints

  • Direct secure messaging: melissablair@pascl.allscriptsdirect.net

Organizations & group practices 2

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 5

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": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1821248717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34099",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379304099",
            "telephone_number": "865-392-6060",
            "fax_number": "865-392-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 DOLLY PARTON PKWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623961",
            "telephone_number": "865-453-6011",
            "fax_number": "865-453-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MELISSA",
        "middle_name": "RENEA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.