Individual provider Active NPI

Kristen Grace Kaser

  • Physician Assistant
  • Goodlettsville, TN
National Provider Identifier
1255908091
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5220 Issued in TN
Practice address
401 Windsor Green CT Ste 101
Goodlettsville, TN 37072-2237
Phone
(615) 859-8488
Fax
(615) 859-8696
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5220 TN Primary
Family Medicine Physician 207Q00000X 5220 TN

Addresses

Primary practice location

401 Windsor Green CT Ste 101
Goodlettsville, TN 37072-2237

Mailing address

401 Windsor Green CT Ste 101
Goodlettsville, TN 37072-2237
Phone (615) 859-8488

Other names 1

  • Kristen Grace Dinsmore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221118002857 TN Practitioner - Physician Assistant 0143698357

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

Merit-based Incentive Payment System (MIPS)

Final score
81.74 of 100Reported as group
Quality
69.38
Promoting interoperability
100
Improvement activities
40
Cost
69.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5220TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trevecca Nazarene University PastSince Jun 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristen.kaser@hca1.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1255908091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WINDSOR GREEN CT STE 101",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722237",
            "telephone_number": "615-859-8488",
            "fax_number": "615-859-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WINDSOR GREEN CT STE 101",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722237",
            "telephone_number": "615-859-8488",
            "fax_number": "615-859-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASER",
        "first_name": "KRISTEN",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5220",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "5220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "DINSMORE",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.