Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melissa Ann McNutt

Individual provider Family Nurse Practitioner · NPI 1154921120

Melissa Ann McNutt is a Nurse Practitioner in Bristol, Tennessee. Qualified in 2020, 6 years ago. Practices with Ipc PAC Healthcare Services of Tennessee PC, a 75-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
6
Licensed in
TN, VA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

941 Windsor Ave
Bristol, TN 37620-2155
Phone: (540) 250-5742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28465 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024180350 (VA)

Record details

NPI number1154921120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2020
Last updated in NPPESOctober 29, 2020
Certification dateOctober 9, 2020
Mailing address941 Windsor Ave, Bristol, TN 37620-2155

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ipc Pac Healthcare Services Of Tennessee Pc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bristol