Individual provider Active NPI

Christopher Delk

  • Family Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1174011753
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23896 Issued in TN
Practice address
228 W 4TH St Ste 200
Cookeville, TN 38501-2489
Phone
(931) 372-0405
NPI assigned
Apr 29, 2018
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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 23896 TN Primary

Addresses

Primary practice location

228 W 4TH St Ste 200
Cookeville, TN 38501-2489

Mailing address

140 W 7TH St
Cookeville, TN 38501-1726
Phone (931) 783-5582

Other practice location 1

106 Henry Ave
Crossville, TN 38555-4470
Phone (931) 881-2039

Other identifiers 1

IdentifierTypeStateIssuer
Q036878MedicaidTN

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
I20190123003088 TN Practitioner - Nurse Practitioner 0042557464 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRMC Mso Sub 1 IncorporatedGroup PAC ID 1052332830, 21 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

228 W 4TH St
Suite 200
Cookeville, TN 38501-2489
Phone (931) 372-0405

573 Carthage Byp
Carthage, TN 37030-1573
Phone (615) 486-6178

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23896TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince May 1, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 1, 2018 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Exac Care, PLLC CurrentSince Jun 1, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Tennessee Heart PLLC CurrentSince Mar 1, 2023 Accepting new patients
CRMC Mso Sub 1, Incorporated CurrentSince Mar 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC PastSince Jun 16, 2024 Accepting new patients

Locations

573 Carthage Byp
Carthage, TN 37030
Phone (615) 486-6178

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

228 W 4th St
Ste 200
Cookeville, TN 38501
Phone (931) 372-0405

562 W Main St
Cookeville, TN 38506
Phone (931) 854-9601

106 Henry St
Crossville, TN 38555
Phone (931) 783-4770

229 Interstate Dr
Ste 103
Crossville, TN 38555
Phone (931) 210-5577

Organizations & group practices 8

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.

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": "1524960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1174011753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 7TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011726",
            "telephone_number": "931-783-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W 4TH ST STE 200",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012489",
            "telephone_number": "931-372-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Henry Ave",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385554470",
            "country_code": "US",
            "telephone_number": "931-881-2039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELK",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-29",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036878",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.