Active NPI
Kacey Q. Voelker, MSN, FNP-BC
- Family Nurse Practitioner
- Morristown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18815
- Practice address
- 420 W Morris Blvd
Suite 400G
Morristown, TN 37813-2283 - Phone
- (423) 581-5925
- Fax
- (423) 581-2828
- NPI assigned
- Jul 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 182891 | TN | |
| Family Nurse Practitioner | 363LF0000X | 18815 | TN | Primary |
Addresses
Primary practice location
420 W Morris Blvd
Suite 400G
Morristown, TN 37813-2283
Mailing address
420 W Morris Blvd
Suite 400G
Morristown, TN 37813-2283
Phone (423) 581-2660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q009105 | Medicaid | TN |
Other names 1
- Kacey Q. Roach
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kacey.roach.1@3525.direct.athenahealth.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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141110000288 | TN | Practitioner - Nurse Practitioner | 8628290525 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthstar Physicians PC
Practice addresses (Care Compare)
420 W Morris Blvd
Morristown, TN 37813-2282
420 W Morris Blvd
Suite 400H
Morristown, TN 37813-2283
Phone (423) 586-4545
657 E Broadway Blvd
Suite a
Jefferson City, TN 37760-4949
Phone (865) 475-9062
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182891 | TN | MD | Registered Nurse |
| 18815 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthstar Physicians, P.C. | Current | Accepting new patients | |
| Healthstar Physicians PC | Current | Accepting new patients | |
| East Tennessee Primary Care Associates | Past | Accepting new patients |
Locations
657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717
5741 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 585-0686
420 W Morris Blvd
Ste 400G
Morristown, TN 37813
Phone (423) 581-2538
420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443
Interoperability endpoints
- kacey.roach.1@3525.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Pain Medicine (Anesthesiology) Physician
- Morristown, TN
- NPI 1841187648
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1033095476
-
- Foot & Ankle Surgery Podiatrist
- Dandridge, TN
- NPI 1366302663
-
- Family Medicine Physician
- Newport, TN
- NPI 1942782883
-
- Internal Medicine Physician
- Jefferson City, TN
- NPI 1205226032
-
- Family Medicine Physician
- Dandridge, TN
- NPI 1891185575
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1134271745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1457767345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W MORRIS BLVD",
"address_2": "SUITE 400G",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378132283",
"telephone_number": "423-581-2660",
"fax_number": "423-581-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W MORRIS BLVD",
"address_2": "SUITE 400G",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378132283",
"telephone_number": "423-581-5925",
"fax_number": "423-581-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOELKER",
"first_name": "KACEY",
"middle_name": "Q.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-11",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "182891",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "18815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q009105",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kacey.roach.1@3525.direct.athenahealth.com",
"affiliation": "N",
"address_1": "420 W Morris Blvd",
"address_2": "Suite 400G",
"city": "Morristown",
"state": "TN",
"country_code": "US",
"postal_code": "378132283",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KACEY",
"last_name": "ROACH",
"middle_name": "Q.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.