Individual provider Active NPI

Kristy Alese Henegar

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1487134482
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000024431 Issued in TN
Practice address
3200 W End Ave
Nashville, TN 37203-1330
Phone
(866) 849-0692
NPI assigned
Aug 19, 2018
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000024431 TN Primary
Nurse Practitioner 363L00000X 5024991 NC
Nurse Practitioner 363L00000X GAA-NP005467 GA
Nurse Practitioner 363L00000X 209036796 IL
Nurse Practitioner 363L00000X 2026030286 MO

Addresses

Primary practice location

3200 W End Ave
Nashville, TN 37203-1330

Mailing address

1060 William Way NW
Cleveland, TN 37312-4369
Phone (423) 478-1050

Other practice location 1

1060 William Way NW
Cleveland, TN 37312-4369
Phone (423) 478-1970

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
I20200513000741 TN Practitioner - Nurse Practitioner 5294072179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Medical Associates, PLLCGroup PAC ID 7113952938, 11 clinicians

Practice addresses (Care Compare)

1060 William Way NW
Cleveland, TN 37312-5825
Phone (423) 478-1050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-NP005467GAMDNurse Practitioner
2026030286MOMDNurse Practitioner
5024991NCMDNurse Practitioner
APN0000024431TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Medical Associates, PLLC CurrentSince Feb 14, 2022 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Jul 10, 2026 Accepting new patients

Locations

1060 William Way NW
Cleveland, TN 37312
Phone (423) 475-1050

3200 West End Ave
Nashville, TN 37203
Phone (615) 510-1646

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEIHBD
  • Direct secure messaging: kristy.henegar@cmapllc.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1487134482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WILLIAM WAY NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124369",
            "telephone_number": "423-478-1050",
            "fax_number": "888-853-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W END AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031330",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 William Way NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373124369",
            "country_code": "US",
            "telephone_number": "423-478-1970",
            "fax_number": "888-853-7312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENEGAR",
        "first_name": "KRISTY",
        "middle_name": "ALESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-19",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000024431",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024991",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "GAA-NP005467",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209036796",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2026030286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.