Active NPI
Kelli Michelle Walker, FNP-BC
- Family Nurse Practitioner
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24354
- Practice address
- 907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015 - Phone
- (865) 980-4897
- Fax
- (865) 977-4722
- NPI assigned
- Feb 12, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 24354 | TN | Primary |
Addresses
Primary practice location
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other practice location 1
355 Bmh Physicians Office Bldg
Maryville, TN 37804-5820
Phone (865) 980-5060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q061909 | Medicaid | TN |
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 |
|---|---|---|---|---|
| I20201116001955 | TN | Practitioner - Nurse Practitioner | 8527479955 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Winbigler Medical, PLLCBlount Memorial Physician Group Inc
Practice addresses (Care Compare)
827 W Broadway Ave
Maryville, TN 37801-4717
Phone (865) 336-6888
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 980-4897
Hospital & facility affiliations
- Blount Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.77 of 100
- Quality
- 58.61
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 73.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24354 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blount Memorial Physician Group, Inc | Current | Accepting new patients | |
| Blount Gastroenterology Assoc PC | Past | Accepting new patients |
Locations
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
103 W Broadway Ave
Maryville, TN 37801
350 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 982-5044
463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100
355 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5060
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kwalker864469@direct.ghs.myhfn.org
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.
-
- Gastroenterology Physician
- Maryville, TN
- NPI 1144286709
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778284800000",
"number": "1497211635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E LAMAR ALEXANDER PKWY",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045015",
"telephone_number": "865-980-4897",
"fax_number": "865-977-4722"
}
],
"practiceLocations": [
{
"address_1": "355 Bmh Physicians Office Bldg",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "TN",
"postal_code": "378045820",
"country_code": "US",
"telephone_number": "865-980-5060",
"fax_number": "865-980-5066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "KELLI",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2026-05-09",
"certification_date": "2026-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "24354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q061909",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; 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.