Individual provider Active NPI

Andrea Coffey, N.P.

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1891179503
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20077 Issued in TN
Practice address
1311 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2454
Phone
(865) 588-5121
Fax
(865) 588-5126
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20077 TN Primary

Addresses

Primary practice location

1311 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2454

Mailing address

PO Box 59002
Knoxville, TN 37950-9002
Phone (865) 588-5121

Other identifiers 1

IdentifierTypeStateIssuer
Q019745MedicaidTN

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
I20151014001083 TN Practitioner - Nurse Practitioner 1052620077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates PCGroup PAC ID 9739132705, 33 clinicians

Practice addresses (Care Compare)

1311 Dowell Springs Blvd
Knoxville, TN 37909-2454

Hospital & facility affiliations

  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Merit-based Incentive Payment System (MIPS)

Final score
90.72 of 100Reported as group
Quality
91.46
Promoting interoperability
100
Improvement activities
40
Cost
77.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates, PC CurrentSince Dec 5, 2016 Accepting new patients

Locations

1311 Dowell Springs Blvd
Ste 100
Knoxville, TN 37909

1311 Dowell Springs Blvd
Knoxville, TN 37909
Phone 86558851211606

801 N Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone 86558851211644

1311 Dowell Springs Blvd
Ste 300
Knoxville, TN 37909
Phone (865) 558-0606

11440 Parkside Dr
Knoxville, TN 37934
Phone (865) 675-0688

629 Delozier Way
Powell, TN 37849
Phone (865) 512-5989

Organizations & group practices 1

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.

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1891179503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59002",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379509002",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 DOWELL SPRINGS BLVD",
            "address_2": "SUITE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092454",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "ANDREA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "20077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019745",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.