Individual provider Active NPI

Kristy Ann Fayne, APN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1174049530
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22971 Issued in TN
Practice address
80 Humphreys Center Dr Ste 202
Memphis, TN 38120-2361
Phone
(901) 226-4282
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22971 TN Primary
Family Nurse Practitioner 363LF0000X 905860 MS

Addresses

Primary practice location

80 Humphreys Center Dr Ste 202
Memphis, TN 38120-2361

Mailing address

291 Galilee Church Rd
Brighton, TN 38011-6843
Phone (901) 212-9108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171102003242 TN Practitioner - Nurse Practitioner 3577829852 Reassigns benefits to 2 organizations
I20230410002713 MS Practitioner - Nurse Practitioner 3577829852 Reassigns benefits to 1 organization
I20260317000429 AR Practitioner - Nurse Practitioner 3577829852 Reassigns benefits to 1 organization

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
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

Practice addresses (Care Compare)

255 Baptist Blvd
Columbus, MS 39705-2006

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

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882

80 Humphreys Ctr Dr
Memphis, TN 38120-2361

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
905860MSMDFamily Nurse Practitioner
22971TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Hospice of Tennessee CurrentSince Jan 17, 2018 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Sep 21, 2020 Accepting new patients
Baptist Memorial Medical Group Inc Nurse Practitioner CurrentSince Sep 21, 2020 Accepting new patients
Crossroads Hospice of Tennessee, LLC PastSince Nov 6, 2022 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

363 Southcrest Cir
Ste 202
Southaven, MS 38671
Phone (662) 536-1944

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

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

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

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

1669 Shelby Oaks Dr N
Ste 106
Memphis, TN 38134
Phone (901) 382-9292

80 Humphreys Center Dr
Ste 202
Memphis, TN 38120
Phone (901) 226-4280

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

6027 Walnut Grove Rd
Ste 116
Memphis, TN 38120
Phone (901) 226-2800

Organizations & group practices 5

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 2

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1174049530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 GALILEE CHURCH RD",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380116843",
            "telephone_number": "901-212-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202361",
            "telephone_number": "901-226-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYNE",
        "first_name": "KRISTY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22971",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.