Individual provider Active NPI

William Clever, FNP

  • Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1982608758
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN 8014 Issued in TN
Practice address
1009 Novus Dr Ste 1a
Johnson City, TN 37604-8237
Phone
(423) 282-2516
Fax
(423) 282-3743
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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 APN 8014 TN Primary

Addresses

Primary practice location

1009 Novus Dr Ste 1a
Johnson City, TN 37604-8237

Mailing address

1009 Novus Dr Ste 1a
Johnson City, TN 37604-8237
Phone (423) 282-2516

Other identifiers 4

IdentifierTypeStateIssuer
3642412MedicaidTN
4135121OtherTNBCBS OF TN
203807201OtherTNTAX ID
4135121OtherTNBLUE CARE

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
I20060127000075 TN Practitioner - Nurse Practitioner 8921012196 Reassigns benefits to 1 organization
Practice locations: Johnson City, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Health Care IncGroup PAC ID 3678980562, 2 clinicians

Practice addresses (Care Compare)

1009 Novus Dr
Suite 1a
Johnson City, TN 37604-8237
Phone (423) 282-2516

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Johnson City, TN, CCN 447422
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Franklin Woods Community Hospital Hospital, Johnson City, TN, CCN 440184
  • Sycamore Shoals Hospital Hospital, Elizabethton, TN, CCN 440018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN 8014TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Health Care, Inc CurrentSince Nov 30, 2015 Accepting new patients
Tranquil JC, LLC PastSince Jul 1, 2020 Accepting new patients
William Clever PastSince Jan 1, 1990 Accepting new patients

Locations

1009 Lark St
Ste 1A
Johnson City, TN 37604
Phone (423) 282-2516

1009 Novus Dr
Ste 1A
Johnson City, TN 37604
Phone (423) 282-2516

Organizations & group practices 3

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 6

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1982608758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 NOVUS DR STE 1A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048237",
            "telephone_number": "423-282-2516",
            "fax_number": "423-282-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 NOVUS DR STE 1A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048237",
            "telephone_number": "423-282-2516",
            "fax_number": "423-282-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVER",
        "first_name": "WILLIAM",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN 8014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3642412",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4135121",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "203807201",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "4135121",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.