Individual provider Active NPI

Megan K Edmisten, NP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1902270069
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20677 Issued in TN
Practice address
9901 Sierra Vista LN
Knoxville, TN 37922-5736
Phone
(865) 599-0300
NPI assigned
Nov 30, 2015
Last updated
Nov 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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 20677 TN Primary

Addresses

Primary practice location

9901 Sierra Vista LN
Knoxville, TN 37922-5736

Mailing address

9901 Sierra Vista LN
Knoxville, TN 37922-5736
Phone (865) 599-0300

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
I20160111001841 TN Practitioner - Nurse Practitioner 4183926942 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Partners of East Tennessee PLLCGroup PAC ID 4486801982, 36 clinicians
M3CGroup PAC ID 3375973936, 6 clinicians

Practice addresses (Care Compare)

1869 Crest Rd
Maryville, TN 37804-4304
Phone (865) 980-5200

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
20677TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shalom Hospice LLC CurrentSince Jul 30, 2025 Accepting new patients
M3C Family CurrentSince Feb 5, 2020 Accepting new patients
Sr Medical Services, LLC Past Accepting new patients

Locations

5409 Maryland Way
Ste 212
Brentwood, TN 37027
Phone (615) 623-8900

12800 Union Rd
Farragut, TN 37934

851 Lawnville Rd
Kingston, TN 37763
Phone (865) 376-3030

271 Moss Grove Blvd
Knoxville, TN 37922
Phone (405) 986-5622

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

9051 Cross Park Dr
Knoxville, TN 37923
Phone (865) 230-1500

200 Bus Terminal Rd
Oak Ridge, TN 37830
Phone (828) 713-0560

300 Briarcliff Ave
Oak Ridge, TN 37830
Phone (865) 230-1500

Interoperability endpoints

  • Direct secure messaging: medmisten@m3c.curemd.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1902270069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 SIERRA VISTA LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225736",
            "telephone_number": "865-599-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 SIERRA VISTA LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225736",
            "telephone_number": "865-599-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMISTEN",
        "first_name": "MEGAN",
        "middle_name": "K",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.