Individual provider Active NPI

Kelsie Hannah, FNP-BC

  • Family Nurse Practitioner
  • Ashland City, TN
National Provider Identifier
1033701057
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28944 Issued in TN
Practice address
342 Frey St
Ashland City, TN 37015-1734
Phone
(615) 792-1199
Fax
(615) 792-9331
NPI assigned
Feb 10, 2021
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28944 TN Primary

Addresses

Primary practice location

342 Frey St
Ashland City, TN 37015-1734

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

5544 Old Hickory Blvd
Hermitage, TN 37076-2576
Phone (615) 515-0029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519002099 TN Practitioner - Nurse Practitioner 1759780034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Associates, PAGroup PAC ID 1355246398, 74 clinicians

Practice addresses (Care Compare)

5002 Crossings Cir
Suite 260
Mount Juliet, TN 37122-8471
Phone (615) 583-5151

Merit-based Incentive Payment System (MIPS)

Final score
78.55 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
60.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, P.a. CurrentSince Jan 17, 2023 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Apr 21, 2021 Accepting new patients
Allergy Associates, PA CurrentSince Jan 17, 2023 Accepting new patients
Allergy Associates PA Past Accepting new patients

Locations

2540 Madison St
Ste A
Clarksville, TN 37043
Phone (931) 802-5297

111 Highway 70 E
Ste 104
Dickson, TN 37055

400 Sugartree Ln
Ste 100
Franklin, TN 37064
Phone (615) 595-6673

264 New Shackle Island Rd
Ste 103
Hendersonville, TN 37075
Phone (615) 284-4646

3810 Central Pike
Ste 201
Hermitage, TN 37076
Phone (615) 475-0148

5544 Old Hickory Blvd
Hermitage, TN 37076
Phone (615) 515-0029

6701 Baum Dr
Ste 140
Knoxville, TN 37919

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 446-7625

5002 Crossings Cir
Ste 180
Mt Juliet, TN 37122
Phone (615) 515-9111

5002 Crossings Cir
Ste 260
Mt Juliet, TN 37122
Phone (615) 583-5151

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1033701057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FREY ST",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151734",
            "telephone_number": "615-792-1199",
            "fax_number": "615-792-9331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5544 Old Hickory Blvd",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762576",
            "country_code": "US",
            "telephone_number": "615-515-0029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "KELSIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland City, TN

Sources for this page

Verify at the official NPI Registry.