Individual provider Active NPI

Kimberly Rae Felts, FNP

  • Family Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1225070337
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7321 Issued in TN
Practice address
920 S Hartmann Dr Ste 310
Lebanon, TN 37090-4137
Phone
(615) 885-1093
Fax
(615) 885-1110
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 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 RN0000108974 TN
Family Nurse Practitioner 363LF0000X 7321 TN Primary

Addresses

Primary practice location

920 S Hartmann Dr Ste 310
Lebanon, TN 37090-4137

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

5653 Frist Blvd Ste 530
Hermitage, TN 37076-2067
Phone (615) 885-1093

Other practice location 2

660 S Mount Juliet Rd Ste 220
MT Juliet, TN 37122-3920
Phone (615) 885-1093

Other practice location 3

1115B Dow St
Murfreesboro, TN 37130-2487
Phone (615) 896-6996

Other identifiers 1

IdentifierTypeStateIssuer
Q010574MedicaidTN

Other names 1

  • Kimberly Rae Carver 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
I20061019000209 TN Practitioner - Nurse Practitioner 6901802701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

920 S Hartmann Dr
Suite 310
Lebanon, TN 37090-4137
Phone (615) 885-1093

Hospital & facility affiliations

  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
  • Vanderbilt Wilson County Hospital Hospital, Lebanon, TN, CCN 440193

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7321TNMDFamily Nurse Practitioner
RN0000108974TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients

Locations

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

Organizations & group practices 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1225070337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468",
            "fax_number": "901-328-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S HARTMANN DR STE 310",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904137",
            "telephone_number": "615-885-1093",
            "fax_number": "615-885-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5653 Frist Blvd Ste 530",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762067",
            "country_code": "US",
            "telephone_number": "615-885-1093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 S Mount Juliet Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223920",
            "country_code": "US",
            "telephone_number": "615-885-1093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115B Dow St",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371302487",
            "country_code": "US",
            "telephone_number": "615-896-6996",
            "fax_number": "615-896-6985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELTS",
        "first_name": "KIMBERLY",
        "middle_name": "RAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN0000108974",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010574",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CARVER",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.