Individual provider Active NPI

Bettina Renee Bellamy, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1891364774
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66319 Issued in NM
Practice address
4546 Chapman Hwy # 3061
Knoxville, TN 37920-4359
Phone
(865) 350-7453
Fax
(865) 413-3836
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61529581 WA
Family Nurse Practitioner 363LF0000X 29682 TN
Family Nurse Practitioner 363LF0000X 66319 NM Primary
Family Nurse Practitioner 363LF0000X 10032642 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 66319 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29682 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61529581 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10032642 OR

Addresses

Primary practice location

4546 Chapman Hwy # 3061
Knoxville, TN 37920-4359

Mailing address

1650 Galisteo St
Santa Fe, NM 87505-4747
Phone (206) 823-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NM, WA, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210726002360 TN Practitioner - Nurse Practitioner 4587067764 Reassigns benefits to 5 organizations
I20220413001412 NM Practitioner - Nurse Practitioner 4587067764 Reassigns benefits to 6 organizations
I20231221003458 WA Practitioner - Nurse Practitioner 4587067764 Reassigns benefits to 1 organization
I20241113002905 OR Practitioner - Nurse Practitioner 4587067764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
M3CGroup PAC ID 3375973936, 6 clinicians

Practice addresses (Care Compare)

9041 Executive Park Dr
Suite 250
Knoxville, TN 37923-4657
Phone (865) 298-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10032642ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visavis Health Care Medical Group of NM LLC CurrentSince Oct 8, 2023 Accepting new patients
M3C Family CurrentSince Jun 1, 2025 Accepting new patients
Southwest Medical Associates, LLC CurrentSince May 1, 2022 Accepting new patients
Daniel Funsch Jr, M.D., P.C. CurrentSince Aug 25, 2025 Accepting new patients
Housecall Primary Care, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Dr Medical Services PC CurrentSince May 19, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 7, 2024 Accepting new patients
BRB Wellness LLC Current Accepting new patients
Signify Health, LLC CurrentSince May 28, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince May 1, 2022 Accepting new patients
Visavis Health Care Medical Group of TN PLLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

831 Bedford Ave
Brooklyn, NY 11205

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

4546 Chapman Hwy
Knoxville, TN 37920
Phone (865) 350-7453

1758 Hillwood Dr
Knoxville, TN 37920
Phone (865) 363-7124

9041 Executive Park Dr
Ste 250
Knoxville, TN 37923
Phone (800) 638-6771

136 Canton Hollow Rd
Knoxville, TN 37934
Phone (865) 392-1300

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

9325 S Northshore Dr
Knoxville, TN 37922
Phone (865) 474-9322

136 Davis Ln
La Follette, TN 37766
Phone (423) 562-0760

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

7300 State Highway 121
Ste 300374
McKinney, TX 75070

Organizations & group practices 13

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.

View all 13

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1891364774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 GALISTEO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054747",
            "telephone_number": "206-823-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 CHAPMAN HWY # 3061",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204359",
            "telephone_number": "865-350-7453",
            "fax_number": "865-413-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "BETTINA",
        "middle_name": "RENEE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61529581",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "66319",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10032642",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "66319",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29682",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61529581",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10032642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.