Individual provider Active NPI

Jeannine Grebe, NP

  • Women's Health Nurse Practitioner
  • Powell, TN
National Provider Identifier
1912016288
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APN6398 Issued in TN
Practice address
603 E Emory Rd Ste 105
Powell, TN 37849-3567
Phone
(865) 859-7350
Fax
(865) 859-7368
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APN6398 TN Primary

Addresses

Primary practice location

603 E Emory Rd Ste 105
Powell, TN 37849-3567

Mailing address

603 E Emory Rd Ste 105
Powell, TN 37849-3567
Phone (865) 859-7350

Other identifiers 1

IdentifierTypeStateIssuer
Q009923MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeannine.grebe.1@4694.direct.athenahealth.com

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
I20051121000975 TN Practitioner - Nurse Practitioner 4688693492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Knoxville, TN 37934-1981

7557 A Dannaher Dr
Suite G15
Powell, TN 37849-3558
Phone (865) 859-7377

Hospital & facility affiliations

  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN6398TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Hma Physician Management, LLC Women'S Health CurrentSince Jun 1, 2015 Accepting new patients
Hartline & Shahbazi Gynecology, PLLC CurrentSince Dec 31, 2006 Accepting new patients

Locations

101 E Blount Ave
Ste 650
Knoxville, TN 37920
Phone (865) 632-5058

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

603 E Emory Rd
Ste 105
Powell, TN 37849
Phone (865) 859-7350

Interoperability endpoints

  • Direct secure messaging: jeannine.grebe.1@4694.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1912016288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E EMORY RD STE 105",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493567",
            "telephone_number": "865-859-7350",
            "fax_number": "865-859-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E EMORY RD STE 105",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493567",
            "telephone_number": "865-859-7350",
            "fax_number": "865-859-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBE",
        "first_name": "JEANNINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "APN6398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009923",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeannine.grebe.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "603 E Emory Rd Ste 105",
            "city": "Powell",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378493567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.