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

Shasta Patrick, NP

Individual provider Family Nurse Practitioner · NPI 1386414225

Shasta Patrick, NP is a Nurse Practitioner in Jefferson City, Tennessee. Qualified in 2023, 3 years ago. Practices with Summit Medical Group, PLLC, a 636-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

380 W Broadway Blvd Ste 130
Jefferson City, TN 37760-2602
Phone: (865) 475-4742
Fax: (833) 908-2080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8635 Middlebrook Pike, Knoxville, TN 37923-1612 — (865) 824-0072

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 35037 (TN)

Record details

NPI number1386414225
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 2, 2024
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Summit Medical Group, Pllc — 636 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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