NPIMap

Individual provider Active NPI

Kimberly S Peaslee, M.D.

  • Internal Medicine Physician
  • Crossville, TN
National Provider Identifier
1174522049
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26006 Issued in TN
Practice address
1645 S Main St
Suite 101
Crossville, TN 38555-5998
Phone
(931) 484-7531
Fax
(931) 456-9515
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26006 TN Primary

Addresses

Primary practice location

1645 S Main St
Suite 101
Crossville, TN 38555-5998

Mailing address

1645 S Main St
Suite 101
Crossville, TN 38555-5998
Phone (931) 484-7531

Other identifiers 1

IdentifierTypeStateIssuer
3800353MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000240 TN Practitioner - Internal Medicine 2961551395 Practice locations: Crossville, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1645 S Main Street
Suite 101
Crossville, TN 38555-2908
Phone (931) 484-7531

Hospital & facility affiliations

  • Quality Home Health Home health agency, Jamestown, TN, CCN 447406
  • Amedisys Home Health Home health agency, Livingston, TN, CCN 447260
  • Adoration Home Health Nashville South Home health agency, Cookeville, TN, CCN 447425
  • Hospice of Cumberland County Inc Hospice, Crossville, TN, CCN 441511
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009
  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031

Merit-based Incentive Payment System (MIPS)

Final score
54.41 of 100Reported as individual
Quality
83.33
Improvement activities
0
Cost
70.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians' Associates, LLC Current Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Crossville Family Medicine LLC Current Accepting new patients

Locations

1645 S Main St
Ste 101
Crossville, TN 38555
Phone (931) 484-7531

Interoperability endpoints

  • Direct secure messaging: kimberlypeaslee@tnmhpf.allscriptsdirect.net

Organizations & group practices 3

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 7

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1174522049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 S MAIN ST",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555998",
            "telephone_number": "931-484-7531",
            "fax_number": "931-456-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 S MAIN ST",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555998",
            "telephone_number": "931-484-7531",
            "fax_number": "931-456-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASLEE",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "26006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3800353",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.