Individual provider Active NPI

Kellie Pacheco

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1326728668
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34369 Issued in TN
Practice address
1710 Patterson St
Nashville, TN 37203-2926
Phone
(615) 327-1085
NPI assigned
Jul 21, 2023
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 34369 TN Primary

Addresses

Primary practice location

1710 Patterson St
Nashville, TN 37203-2926

Mailing address

1312 General McArthur Dr
Brentwood, TN 37027-6602
Phone (615) 243-9658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KS, OH, NY, CT, UT, MO, WI, VA, GA, NJ, NC, TX, NM, SC15 enrollments
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 15

Enrollment IDStateProvider typePAC IDDetails
I20231017002433 TN Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations
I20251204002246 KS Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations
I20251205003301 OH Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations
I20251205003520 NY Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations
I20251205004033 CT Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations
I20251211000896 UT Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations
I20251211001350 MO Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 1 organization
I20251211001711 WI Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 1 organization
I20260105002756 VA Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations
I20260121002594 GA Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations
I20260128000571 NJ Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 1 organization
I20260128001648 NC Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations
I20260213003380 TX Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations
I20260513003510 NM Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations
I20260603001762 SC Practitioner - Nurse Practitioner 1951756519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Doc Tennessee PCGroup PAC ID 5991169070, 2 clinicians

Practice addresses (Care Compare)

Nashville, TN 37215
Phone (855) 434-7763

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Doc Missouri PC CurrentSince Oct 5, 2025 Accepting new patients
J M Geiss DO Apc CurrentSince Jun 23, 2025 Accepting new patients
Alive Hospice, Inc. CurrentSince Oct 16, 2023 Accepting new patients
Senior Doc Georgia, PC CurrentSince Dec 28, 2025 Accepting new patients
Senior Doc South Carolina PC CurrentSince Apr 30, 2026 Accepting new patients
Alive Hospice, Inc Current Accepting new patients
Geiss Medical New York PC CurrentSince Dec 31, 2025 Accepting new patients
Senior Doc, Tennessee PC CurrentSince Jun 23, 2025 Accepting new patients
Senior Doc Kansas PA CurrentSince Jan 3, 2026 Accepting new patients
Senior Doc Arizona PC CurrentSince May 2, 2026 Accepting new patients
Senior Doc Idaho PC CurrentSince May 1, 2026 Accepting new patients
Senior Doc Utah PC CurrentSince Oct 9, 2025 Accepting new patients
Senior Doc North Carolina PC CurrentSince Dec 15, 2025 Accepting new patients
Senior Doc, Texas PLLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

5 Hutton Centre Dr
Ste 95
Santa Ana, CA 92707

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

15 N Main St
Ste 100
West Hartford, CT 06107
Phone (214) 532-3757

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

14400 Metcalf Ave
Ste 410
Overland Park, KS 66223

2055 Craigshire Dr
Ste 410
Saint Louis, MO 63146
Phone (314) 200-2140

8024 Glenwood Ave
Ste 305
Raleigh, NC 27612
Phone (772) 265-4956

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

2323 W 5th Ave
Ste 120
Columbus, OH 43204
Phone (614) 251-4593

700 Nexton Square Dr
Ste 410
Summerville, SC 29486

2615 Medical Center Pkwy
Ste 1560
Murfreesboro, TN 37129
Phone (615) 525-6181

1710 Patterson St
Nashville, TN 37203
Phone (615) 327-1085

1718 Patterson St
Nashville, TN 37203
Phone (615) 327-1085

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

1341 W Mockingbird Ln
Ste 600W
Dallas, TX 75247
Phone (303) 748-5781

1777 NE Loop 410
Ste 100
San Antonio, TX 78217

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 231-1680

221 E 25th St
Ogden, UT 84401
Phone (623) 300-5477

4870 Sadler Rd
Ste 200
Glen Allen, VA 23060

500 W Silver Spring Dr
Ste K200
Milwaukee, WI 53217
Phone (414) 207-4415

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1326728668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 GENERAL MCARTHUR DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276602",
            "telephone_number": "615-243-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032926",
            "telephone_number": "615-327-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "KELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.