Individual provider Active NPI

Krista Niicole Bailey, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1477028256
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
24900 Issued in TN
Practice address
1927 Memorial Blvd
Murfreesboro, TN 37129
Phone
(615) 904-9111
Fax
(931) 728-1016
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 24900 TN Primary

Addresses

Primary practice location

1927 Memorial Blvd
Murfreesboro, TN 37129

Mailing address

2717 E Oakland Ave
Johnson City, TN 37601-1843
Phone (423) 926-2358

Other names 1

  • Krita Nicole Benson Former name

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
I20190202000217 TN Practitioner - Nurse Practitioner 4385981018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Health Transitions, PLLC 19 clinicians

Practice addresses (Care Compare)

2717 E Oakland Ave
Johnson City, TN 37601-1843
Phone (423) 926-2358

Hospital & facility affiliations

  • NHC Homecare Murfreesboro Home health agency, Murfreesboro, TN, CCN 447114

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24900TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renuven Aco PLLC CurrentSince Jun 18, 2025 Accepting new patients
Integrated Health Transitions, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Renuven Health Partners of Georgia PC Past Accepting new patients

Locations

1204 Frye St
Athens, TN 37303
Phone (423) 745-0434

3107 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 979-0000

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

122 Cavette Hill Ln
Knoxville, TN 37934
Phone (865) 777-4000

300 Laboratory Rd
Oak Ridge, TN 37830
Phone (865) 482-7698

1321 Cedar Ln
Tullahoma, TN 37388
Phone (931) 222-4207

Organizations & group practices 3

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 6

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1477028256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "423-926-2358",
            "fax_number": "423-926-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 MEMORIAL BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-904-9111",
            "fax_number": "931-728-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KRISTA",
        "middle_name": "NIICOLE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "24900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRITA",
            "last_name": "BENSON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.