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Deactivated NPI 1780883447 Deactivated / Inactive NPI Male Practitioner

Mekonnen Kidane , NP

Nurse Practitioner • Dickson, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mekonnen Kidane has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2007
NPI Deactivation Date December 20, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Mekonnen Kidane, NP was a registered Nurse Practitioner practicing in Dickson, TN. Throughout an active medical career spanning 16 years, Mekonnen Kidane provided care at the practice location at 111 HW 70 EAST until profile deactivation on 2023-12-20.

Historical Medicare Part B clinical services included subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

111 Hw 70 East

Dickson, TN 37055

Telephone 6154460446
Fax 6154412309
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dickson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.4 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Dickson, TN (2343 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
124 61 $99.94 $54.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
57 43 $64.35 $34.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
33 30 $132.07 $72.37

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TN ANP0000012772

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. Daniel Torrens , DO

Emergency Medicine

NPI 1003357864

Doctor of Osteopathic Medicine (D.O.)

Dr. Muinat Taiwo , MD

Internal Medicine

NPI 1154775914

Doctor of Medicine (M.D.)

Nathan Dotson , PA-C

Physician Assistant

NPI 1194061291

Physician Assistant (Certified)

NPI 1235750092

Doctor of Medicine (M.D.)

Camerone Williams

Emergency Medicine

NPI 1255837035
Dr. Bryan Wegg , MD

Emergency Medicine

NPI 1265729958

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated December 20, 2023

Record deactivated on December 20, 2023

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Updated Practice Location August 05, 2022

Registered at 210 WESTWOOD PL STE 110, BRENTWOOD, TN 370277554 (Tel: 6152062462)

NPI Profile Active July 13, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 13, 2007

Registered at 111 HW 70 EAST, DICKSON, TN 37055 (Tel: 6154460446)

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Updated Business Mailing Address July 13, 2007

Registered at 7280 CABOT DR, NASHVILLE, TN 372094347 (Tel: 6157305406)

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Provider Name / Credentials Updated July 13, 2007

Recorded as MEKONNEN KIDANE, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2007

Nurse Practitioner (License #ANP0000012772 in TN)

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Initial NPI Registration & Enumeration July 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780883447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2007
Last Update: July 13, 2007
Deactivation Date: December 20, 2023

Mailing Address

7280 Cabot Dr

Nashville, TN 372094347

Phone: 6157305406

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.