Individual provider Active NPI

Melissa Marie Horn

  • Psychiatric/Mental Health Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1871273011
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
34350 Issued in FL
Practice address
2036 Chilhowee Medical Park
Maryville, TN 37804-5285
Phone
(865) 268-4360
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 34350 FL Primary

Addresses

Primary practice location

2036 Chilhowee Medical Park
Maryville, TN 37804-5285

Mailing address

2036 Chilhowee Medical Park
Maryville, TN 37804-5285

Other practice location 1

427 Independence Dr
Jefferson City, TN 37760-3839
Phone (386) 295-8420

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
I20240123003059 TN Practitioner - Nurse Practitioner 2365894581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

872 Hwy 92 S
Dandridge, TN 37725-4621
Phone (865) 484-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34350FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preserve Health and Wellness Multi-Specialty CurrentSince Aug 7, 2024 Accepting new patients
East Tennessee Addiction Specialists Multi-Specialty CurrentSince Dec 10, 2023 Accepting new patients
Southland Health Services, LLC Multi-Specialty CurrentSince Mar 13, 2024 Accepting new patients
Pinnacle Health Partners, PLLC Past Accepting new patients

Locations

872 Highway 92 S
Dandridge, TN 37725
Phone (865) 484-4321

9301 Park West Blvd
Ste B4
Knoxville, TN 37923

659 Morganton Square Dr
Maryville, TN 37801
Phone (865) 406-2715

2036 Chilhowee Medical Park
Maryville, TN 37804
Phone (865) 268-4360

111 Station Dr
Bldg 3
Maryville, TN 37804
Phone (865) 268-4360

111 Station Dr
Maryville, TN 37804
Phone (865) 388-2341

20445 Alberta St
Oneida, TN 37841
Phone (423) 286-7638

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1871273011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 CHILHOWEE MEDICAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 CHILHOWEE MEDICAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045285",
            "telephone_number": "865-268-4360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 Independence Dr",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377603839",
            "country_code": "US",
            "telephone_number": "386-295-8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORN",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "34350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.