MARY JANE MINNICK ACNP
NPI 1194796557
Nurse Practitioner in Knoxville, TN

Q: What is Mary Jane Minnick's NPI number?

The NPI number for Mary Jane Minnick is 1194796557. It was assigned to this individual provider in the NPPES registry on February 1, 2006. The provider is also known as Mary Jane Lehto Rn.

Q: What is Mary Jane Minnick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Jane Minnick was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2006PECOS Enrolled

1915 WHITE AVE, KNOXVILLE, TN 37916(865) 541-1720(865) 541-1747 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Dec 1, 2017 (2 updates tracked since 2017).

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About Mary Jane Minnick Acnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JANE MINNICK ACNP (NPI 1194796557) is an individual nurse practitioner in Knoxville, Tennessee, licensed in Tennessee (11823) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1194796557

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY JANE MINNICKCredential: ACNP

Location Address1915 WHITE AVEKnoxville, TN 37916-2300

Mailing Address1915 White AveKnoxville, TN 37916-2300 · (865) 541-1720 · Fax (865) 541-1747

Phone(865) 541-1720

Fax(865) 541-1747

Sole ProprietorNo

Enumeration DateFebruary 1, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1194796557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 11823

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1915 WHITE AVE, Knoxville, TN 37916

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Other Names 1

Former Name (1)Mary Jane Lehto Rn

Secondary Practice Location 1

Location 1119 Boone Ridge Dr, Suite 201Johnson City, TN 37615-4998 · Phone (423) 282-1480 ext. 314 · Fax (423) 928-1353

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jane Minnick Acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Jane Minnick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thompson Oncology Group

Same address

Hematology & Oncology

1915 WHITE AVE
Knoxville, TN 37916

Reassigned Medicare billing, Tennessee enrollment
139 clinicians in this Medicare group

NPI 1619975737 (865) 541-1720

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA RUTH COOPER R.D., LDN

Dietitian, Registered

1915 WHITE AVE, THOMPSON CANCER SURVIVAL CENTER
KNOXVILLE, TN 37916

Knox County (865) 541-2036

JESSICA GOLLIHER NP-C

Nurse Practitioner (Family)

1915 WHITE AVE
KNOXVILLE, TN 37916

Knox County (865) 331-1720

MRS. OLGA MARIA GARDNER FNP-BC

Nurse Practitioner (Family)

1915 WHITE AVE
KNOXVILLE, TN 37916

Knox County (865) 331-1421

JEFFREY LEE DOUGLAS M.D.

Internal Medicine

1915 WHITE AVE, SUITE 601
KNOXVILLE, TN 37916

Knox County (865) 525-4333

ALORA TERRY MS

Genetic Counselor, MS

1915 WHITE AVE
KNOXVILLE, TN 37916

Knox County (865) 331-4982

MS. CHERYL L VANDEWEGE

Nurse Practitioner

1915 WHITE AVE
KNOXVILLE, TN 37916

Knox County (865) 331-1720

AHMAD NAJIB HAMMAD

Internal Medicine (Medical Oncology)

1915 WHITE AVE
KNOXVILLE, TN 37916

Knox County (865) 331-2863

MORGAN HARRISON

Nurse Practitioner

1915 WHITE AVE
KNOXVILLE, TN 37916

Knox County (865) 331-1720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jane Minnick's NPI number?

The NPI number for Mary Jane Minnick is 1194796557. It was assigned to this individual provider in the NPPES registry on February 1, 2006. The provider is also known as Mary Jane Lehto Rn.

Where is Mary Jane Minnick located?

Mary Jane Minnick practices at 1915 White Ave, Knoxville, TN 37916. The listed phone number is (865) 541-1720.

What is Mary Jane Minnick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Jane Minnick enrolled in Medicare?

Yes. Mary Jane Minnick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Jane Minnick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jane Minnick reassigns Medicare benefits to Thompson Oncology Group (Knoxville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Jane Minnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Jane Minnick was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.