Individual provider Active NPI

Sandra Elder McNeill, APN

  • Family Nurse Practitioner
  • Dyersburg, TN
National Provider Identifier
1851652168
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16717 Issued in TN
Practice address
2017 Saint John Ave
Suite B
Dyersburg, TN 38024-2209
Phone
(731) 285-6110
Fax
(731) 285-6964
NPI assigned
Jun 4, 2012
Last updated
Jun 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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 16717 TN Primary

Addresses

Primary practice location

2017 Saint John Ave
Suite B
Dyersburg, TN 38024-2209

Mailing address

2017 Saint John Ave
Suite B
Dyersburg, TN 38024-2209
Phone (731) 285-6110

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
I20120904000320 TN Practitioner - Nurse Practitioner 6103073747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christian Family Medicine, LLCGroup PAC ID 7315903978, 33 clinicians

Practice addresses (Care Compare)

899 Hwy 51 S
Covington, TN 38019-2568
Phone (901) 476-8886

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16717TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 19, 2025 Accepting new patients
Thrive Family Healthcare, PLLC CurrentSince May 4, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 19, 2025 Accepting new patients
Allcare Medical Troy, PLLC Past Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

313 Cleveland St
Ripley, TN 38063
Phone (731) 635-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIAIDD

Organizations & group practices 5

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 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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1851652168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 SAINT JOHN AVE",
            "address_2": "SUITE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242209",
            "telephone_number": "731-285-6110",
            "fax_number": "731-285-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 SAINT JOHN AVE",
            "address_2": "SUITE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242209",
            "telephone_number": "731-285-6110",
            "fax_number": "731-285-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "SANDRA",
        "middle_name": "ELDER",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.