Individual provider Active NPI

Lindsey A Kelley, NP

  • Family Nurse Practitioner
  • Oak Ridge, TN
National Provider Identifier
1306385927
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000021789 Issued in TN
Practice address
988 Oak Ridge Tpke Ste 350
Oak Ridge, TN 37830-6964
Phone
(865) 835-5460
Fax
(865) 374-2109
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000176179 TN
Family Nurse Practitioner 363LF0000X APN0000021789 TN Primary

Addresses

Primary practice location

988 Oak Ridge Tpke Ste 350
Oak Ridge, TN 37830-6964

Mailing address

988 Oak Ridge Tpke Ste 350
Oak Ridge, TN 37830-6964

Other practice location 1

11217 West Point Drive
Suite 2
Knoxville, TN 37934
Phone (865) 675-4342

Other identifiers 1

IdentifierTypeStateIssuer
Q027736MedicaidTN

Other names 1

  • Lindsey Kelley Nichols Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelley.lindsey@covenanthealth.cernerdirect.com

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
I20170525001138 TN Practitioner - Nurse Practitioner 8729355656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000176179TNMDRegistered Nurse
APN0000021789TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Oct 30, 2024 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Sep 7, 2021 Accepting new patients
Family Health Center, PLLC CurrentSince Apr 1, 2017 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Oct 30, 2024 Accepting new patients

Locations

11217 W Point Dr
Ste 2
Knoxville, TN 37934
Phone (865) 675-4243

189 Brooklawn St
Knoxville, TN 37934
Phone (865) 392-9136

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

988 Oak Ridge Tpke
Ste 350
Oak Ridge, TN 37830
Phone (423) 483-7030

Interoperability endpoints

  • Direct secure messaging: lindsey.kelley@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 4

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 3

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": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1306385927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 OAK RIDGE TPKE STE 350",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 OAK RIDGE TPKE STE 350",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306964",
            "telephone_number": "865-835-5460",
            "fax_number": "865-374-2109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11217 West Point Drive",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37934",
            "country_code": "US",
            "telephone_number": "865-675-4342",
            "fax_number": "865-675-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LINDSEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000176179",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000021789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q027736",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelley.lindsey@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "988 Oak Ridge Tpke Ste 350",
            "city": "Oak Ridge",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378306964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "NICHOLS",
            "middle_name": "KELLEY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.