Individual provider Active NPI

Beth E Percer, APN

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1912291501
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000014179 Issued in TN
Practice address
9430 Parkwest Blvd
Suite 320
Knoxville, TN 37923
Phone
(865) 769-4444
Fax
(865) 769-4419
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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 APN0000014179 TN Primary

Addresses

Primary practice location

9430 Parkwest Blvd
Suite 320
Knoxville, TN 37923

Mailing address

9430 Parkwest Blvd
Suite 320
Knoxville, TN 37923
Phone (865) 769-4444

Other identifiers 1

IdentifierTypeStateIssuer
APN0000014179OtherTNAPN STATE LICENSE

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
I20220523000220 TN Practitioner - Nurse Practitioner 6901283449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations OBGYN,P.C.Group PAC ID 3577542042, 9 clinicians

Practice addresses (Care Compare)

9430 Park W Blvd
Suite 320
Knoxville, TN 37923-4209
Phone (865) 769-4444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000014179TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Generations OBGYN,P.C. CurrentSince Jan 1, 2022 Accepting new patients

Locations

9430 Park West Blvd
Ste 320
Knoxville, TN 37923
Phone (615) 441-4477

9430 Park West Blvd
Knoxville, TN 37923
Phone (865) 531-0494

Interoperability endpoints

  • Direct secure messaging: beth.percer.1@29621.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/29621/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1912291501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 PARKWEST BLVD",
            "address_2": "SUITE 320",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-769-4444",
            "fax_number": "865-769-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARKWEST BLVD",
            "address_2": "SUITE 320",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-769-4444",
            "fax_number": "865-769-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCER",
        "first_name": "BETH",
        "middle_name": "E",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000014179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN STATE LICENSE",
            "identifier": "APN0000014179",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.