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MOUNTAIN EMPIRE SURGERY CENTER LP
NPI 1760486369
Clinic/Center - Ambulatory Surgical in Johnson City, TN

Active since June 10, 2005CLIA 44D0970044 · Waiver
601 MED TECH PKWY, JOHNSON CITY, TN 37604(423) 610-1020(423) 610-1021 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2023, Aug 24, 2018 (2 updates tracked since 2018).

About Mountain Empire Surgery Center Lp NPPES

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

MOUNTAIN EMPIRE SURGERY CENTER LP (NPI 1760486369) is a healthcare organization registered as an ambulatory surgical in Johnson City, Tennessee and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Kristen Oconnor, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1760486369
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMOUNTAIN EMPIRE SURGERY CENTER LP
Location Address601 MED TECH PKWYJohnson City, TN 37604
Mailing Address601 Med Tech PkwyJohnson City, TN 37604-2253 · (423) 610-1020 · Fax (423) 610-1021
Phone(423) 610-1020
Fax(423) 610-1021
Organization SubpartNo
Authorized OfficialKristen OconnorAuthorized Official · (615) 376-7315
Enumeration DateJune 10, 2005
Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1760486369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in TN · 0000000120
601 MED TECH PKWY, Johnson City, TN 37604
Open in Google Maps ↗

Other Identifiers 3

Medicaid3281998TN
Other3150816TN · Blue Cross Blue Shield
Other490004752TN · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0970044

Mountain Empire Surgery Center · Johnson City, TN
Active · expires Feb 1, 2028
CLIA Number44D0970044
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorDr. Fernando Zepeda
Laboratory Phone(423) 610-1020
Laboratory LocationMountain Empire Surgery Center601 Med Tech Parkway, Johnson City, TN 37604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
21,447 services87 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
53 services49 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
50 services48 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
35 services25 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
30 services29 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
22 services22 patients

Other Providers at the Same Location NPPES 4

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

EMPICARE, INC.
Prosthetic/Orthotic Supplier
601 MED TECH PKWY
JOHNSON CITY, TN 37604
Washington County (423) 282-8105
AMANDA R ROARK CRNA
Nurse Anesthetist, Certified Registered
601 MED TECH PKWY
JOHNSON CITY, TN 37604
Washington County (423) 610-1020
RACHEL C ROLLER CRNA
Nurse Anesthetist, Certified Registered
601 MED TECH PKWY
JOHNSON CITY, TN 37604
Washington County (423) 610-1020
LISA KAY ROOT CRNA
Nurse Anesthetist, Certified Registered
601 MED TECH PKWY
JOHNSON CITY, TN 37604
Washington County (423) 610-1020

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 Mountain Empire Surgery Center LP's NPI number?

The NPI number for Mountain Empire Surgery Center LP is 1760486369. It was assigned to this organization in the NPPES registry on June 10, 2005.

Where is Mountain Empire Surgery Center LP located?

Mountain Empire Surgery Center LP is located at 601 Med Tech Pkwy, Johnson City, TN 37604. The listed phone number is (423) 610-1020.

What is Mountain Empire Surgery Center LP's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mountain Empire Surgery Center LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0970044) is associated with this NPI, valid through February 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain Empire Surgery Center LP accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Mountain Empire Surgery Center LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain Empire Surgery Center LP was last updated on October 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.