1. Home
  2. Directory
  3. Tennessee
  4. Knoxville
  5. Nurse Practitioner
  6. NPI Profile

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

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: July 26, 2026.

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

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
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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.

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
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
AMY LOUISE CAMPBELL FNP
Nurse Practitioner (Family)
1915 WHITE AVE, DEPARTMENT 100
KNOXVILLE, TN 37916
Knox County (865) 541-2865

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.

When was this NPI record last updated?

The NPPES record for Mary Jane Minnick was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.