Active NPI
Jewel McMillen Birdwell, FNP
- Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN5190
- Practice address
- 538 W 5TH Ave
Knoxville, TN 37917-7109 - Phone
- (865) 525-2104
- Fax
- (865) 525-2212
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN35903 | TN | |
| Nurse Practitioner | 363L00000X | APN5190 | TN | Primary |
Addresses
Primary practice location
538 W 5TH Ave
Knoxville, TN 37917-7109
Mailing address
6350 W a J Hwy
Department 100
Talbott, TN 37877
Phone (800) 355-3565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3906439 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jewel.birdwell.p1@direct.cherokeehealth.nextgenshare.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2018 Western Ave
Knoxville, TN 37921-5718
Phone (423) 317-9344
6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Phone (423) 587-7373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN35903 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Health Systems | Current | Accepting new patients | |
| Cherokee Health Systems | Current | Accepting new patients | |
| Cherokee Health Systems | Past | Accepting new patients |
Locations
1285 Highway 11W
Bean Station, TN 37708
Phone (865) 993-4300
601 College St
Knoxville, TN 37921
Phone (865) 544-0406
2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406
538 W 5th Ave
Knoxville, TN 37917
Phone (865) 525-2104
1923 Sulphur Springs Rd
Morristown, TN 37813
6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031
Interoperability endpoints
- jewel.birdwell.p1@direct.cherokeehealth.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
-
- Federally Qualified Health Center (FQHC)
- White Pine, TN
- NPI 1699666404
-
- Federally Qualified Health Center (FQHC)
- Morristown, TN
- NPI 1043457161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1841298049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 W A J HWY",
"address_2": "DEPARTMENT 100",
"city": "TALBOTT",
"state": "TN",
"postal_code": "37877",
"telephone_number": "800-355-3565",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 W 5TH AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379177109",
"telephone_number": "865-525-2104",
"fax_number": "865-525-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRDWELL",
"first_name": "JEWEL",
"middle_name": "MCMILLEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "RN35903",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN5190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3906439",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jewel.birdwell.p1@direct.cherokeehealth.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Message Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Message Address",
"address_1": "538 W 5th Ave",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379177109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.