Individual provider Active NPI

Krista Brandon

  • Critical Care Medicine Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1881240893
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
26361 Issued in TN
Practice address
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone
(865) 980-5100
Fax
(865) 980-5105
NPI assigned
Aug 15, 2019
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 26361 TN Primary

Addresses

Primary practice location

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

1012 Jamestown Way
Maryville, TN 37803-5865
Phone (872) 231-3162

Other identifiers 1

IdentifierTypeStateIssuer
Q052741MedicaidTN

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
I20191108002947 TN Practitioner - Nurse Practitioner 0143652388 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians
Winbigler Medical, PLLCGroup PAC ID 4789049156, 15 clinicians

Practice addresses (Care Compare)

1012 Jamestown Way
Maryville, TN 37803-5865
Phone (312) 635-0973

2300 Patterson St
Nashville, TN 37203-1538
Phone (561) 997-0821

405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430

425 BMH Physicians
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5260

463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100

827 W Broadway Ave
Maryville, TN 37801-4717
Phone (865) 336-6888

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (864) 455-3748

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
58.61
Promoting interoperability
92
Improvement activities
40
Cost
73.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Sep 1, 2025 Accepting new patients
Statcare Inpatient LLC Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Sep 1, 2025 Accepting new patients
Winbigler Medical, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Intensive Care Consortium Inc Nurse Practitioner CurrentSince Aug 25, 2025 Accepting new patients
Blount Memorial Physician Group, Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

2120 Highland Ave
Knoxville, TN 37916
Phone (865) 386-6392

1012 Jamestown Way
Maryville, TN 37803
Phone (865) 984-7400

103 W Broadway Ave
Maryville, TN 37801

2648 Sevierville Rd
Maryville, TN 37804
Phone (865) 984-1660

307 N 5th St
Maryville, TN 37804
Phone (423) 983-0261

463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

8353 Highway 100
Nashville, TN 37221
Phone (629) 888-5539

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kbrandon864466@direct.ghs.myhfn.org

Organizations & group practices 6

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 2

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1881240893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045015",
            "telephone_number": "865-980-5100",
            "fax_number": "865-980-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Jamestown Way",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378035865",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "KRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TN",
            "license": "26361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q052741",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.