Individual provider Active NPI

Katherine Ann Chappell, PA-C

  • Medical Physician Assistant
  • Germantown, TN
National Provider Identifier
1134591290
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2831 Issued in TN
Practice address
7205 Wolf River Blvd Ste 200
Germantown, TN 38138-1777
Phone
(901) 227-8950
Fax
(901) 227-8951
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2831 TN Primary

Addresses

Primary practice location

7205 Wolf River Blvd Ste 200
Germantown, TN 38138-1777

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (901) 227-7015

Other practice location 1

7945 Wolf River Blvd
Germantown, TN 38138
Phone (901) 683-0055

Other names 1

  • Ms. Katherine Ann Arnold Former name

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
I20151211002413 TN Practitioner - Physician Assistant 3678874872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (901) 227-9000

7205 Wolf River Blvd
Suite 200
Germantown, TN 38138-1777
Phone (901) 227-8950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as subgroup
Quality
83.22
Promoting interoperability
100
Improvement activities
40
Cost
77.26

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2831TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Jun 3, 2024 Accepting new patients
The West Clinic P.C. CurrentSince Aug 3, 2015 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jun 3, 2024 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients
Medical Foundation of Central Mississippi, Inc. PastSince Apr 14, 2024 Accepting new patients
BMC - Attala, LLC PastSince Apr 14, 2024 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

7205 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 227-8950

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410

Interoperability endpoints

  • Direct secure messaging: kchappell29055@mlh.direct-ci.com

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1134591290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "901-227-7015",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 WOLF RIVER BLVD STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381777",
            "telephone_number": "901-227-8950",
            "fax_number": "901-227-8951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7945 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "38138",
            "country_code": "US",
            "telephone_number": "901-683-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "ARNOLD",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.