CORY LYNN LEGAN (FNP-C) – Family Nurse Practitioner, NPI 1336978899

CORY LYNN LEGAN (FNP-C) is a healthcare provider. based in La follette, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 36702 (TN). The NPI Number for CORY LYNN LEGAN (FNP-C) is 1336978899

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
CORY LYNN LEGAN (FNP-C)
NPI
1336978899
Phone
(423) 352-6500
Address
2205 JACKSBORO PIKE
Enumeration Date
31 July 2024
Last Update Date
31 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8652997525
Graduation Year
2024 (2 years ago)
PAC ID
6305379926
Group Practice PAC ID
6608054044
Professional Enrollment ID
I20241104002019
Address ID
TN379234710KN318XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Provider Addresses for CORY LYNN LEGAN (FNP-C)

  • 2205 JACKSBORO PIKE

    LA FOLLETTE, TN 377662904

    Phone: (423) 352-6500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241104002019INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37766)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608054044View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerCO
Nurse PractitionerTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify CORY LYNN LEGAN (FNP-C) with an NPI only?
You can start verification with NPI 1336978899 for CORY LYNN LEGAN (FNP-C), then check state licensing separately.
Is CORY LYNN LEGAN (FNP-C) still practicing?
CORY LYNN LEGAN (FNP-C) is currently listed as active in the public NPI registry.
What taxonomy line describes CORY LYNN LEGAN (FNP-C)?
For research purposes, treat CORY LYNN LEGAN (FNP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CORY LYNN LEGAN (FNP-C)?
CORY LYNN LEGAN (FNP-C)'s geographic hint is La Follette, Tennessee in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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