Erin Kelly

Individual provider Active NPI Pediatric Nurse Practitioner · Knoxville, TN

NPI 1235533472 · NPPES record last updated Nov 6, 2015

Key facts

NPI
1235533472
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
19198 (TN)
Practice address
801 N Weisgarber Rd
Suite 200
Knoxville, TN 37909-2706
Phone
(865) 584-8588
Fax
(865) 584-3364
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
78.55 of 100 (group)
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
60.87

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20151204001984 TN Practitioner - Nurse Practitioner 0749580298 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, P.a. Current
since Nov 23, 2015
Accepting new patients
Allergy Associates, PA Current
since Nov 23, 2015
Accepting new patients

Locations

801 N Weisgarber Rd
Knoxville, TN 37909

6701 Baum Dr
Ste 140
Knoxville, TN 37919

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 848-5888

4798 New Highway 68
Madisonville, TN 37354
Phone (423) 884-7271

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 19198 TN Yes

Addresses

Primary practice location

801 N Weisgarber Rd
Suite 200
Knoxville, TN 37909-2706

Mailing address

6701 Baum Dr
Suite 140
Knoxville, TN 37919-7360
Phone (865) 584-5727

Other providers in Knoxville, TN

All providers in Knoxville, TN · Pediatric Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.