Individual provider Active NPI

Kelsey Ashton Risden, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1689396178
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32117 Issued in TN
Practice address
103 Midlake Dr Uppr Level
Knoxville, TN 37918-3002
Phone
(865) 687-1973
Fax
(833) 908-2091
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 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 32117 TN Primary

Addresses

Primary practice location

103 Midlake Dr Uppr Level
Knoxville, TN 37918-3002

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

Other practice location 1

5505 Creekwood Park Blvd
Lenoir City, TN 37772-1201
Phone (865) 986-1400

Other practice location 2

136 Mountain Perkins Ln
Jacksboro, TN 37757-2841
Phone (423) 562-4149

Other identifiers 1

IdentifierTypeStateIssuer
32117OtherTNADVANCED PRACTICE LICENSE

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
I20231220002647 TN Practitioner - Nurse Practitioner 0244680015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1940 Alcoa Hwy
Suite E310
Knoxville, TN 37920-2267
Phone (865) 544-2800

7209 Chapman Hwy
Knoxville, TN 37920-6685
Phone (865) 577-0003

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32117TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Dec 11, 2023 Accepting new patients
University Health System Inc Family CurrentSince Jan 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 16, 2024 Accepting new patients
University Health System, Inc Current Accepting new patients
Summit Medical Group, PLLC CurrentSince Dec 11, 2023 Accepting new patients
University Health System Inc CurrentSince Jan 1, 2025 Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

1940 Alcoa Hwy
Ste 310
Knoxville, TN 37920
Phone (865) 305-9873

103 Midlake Dr
Knoxville, TN 37918
Phone (865) 687-1973

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

7209 Chapman Hwy
Knoxville, TN 37920
Phone (865) 305-6955

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

103 Midlake Dr
Uppr
Knoxville, TN 37918
Phone (865) 687-1973

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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 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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1689396178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MIDLAKE DR UPPR LEVEL",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379183002",
            "telephone_number": "865-687-1973",
            "fax_number": "833-908-2091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 Creekwood Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377721201",
            "country_code": "US",
            "telephone_number": "865-986-1400",
            "fax_number": "865-986-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Mountain Perkins Ln",
            "address_purpose": "LOCATION",
            "city": "Jacksboro",
            "state": "TN",
            "postal_code": "377572841",
            "country_code": "US",
            "telephone_number": "423-562-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISDEN",
        "first_name": "KELSEY",
        "middle_name": "ASHTON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE LICENSE",
            "identifier": "32117",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.