Keshia Abbott

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

22439 Issued in TN

Practice address

228 W 4TH St Ste 200
Cookeville, TN 38501-2489

Phone

(931) 372-0405

Fax

(931) 372-0463

NPI assigned

Mar 16, 2017

Last updated

Apr 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CRMC Mso Sub 1 IncorporatedGroup PAC ID 1052332830, 21 clinicians

Stern Cardiovascular Center, PAGroup PAC ID 2860390275, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Merit-based Incentive Payment System (MIPS)

Final score

78.55 of 100Reported as group

Quality

68.46

Promoting interoperability

99

Improvement activities

40

Cost

60.87

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• CRMC Mso Sub 1, Incorporated

  dba Tennessee Heart

  • Specialist
  • Cookeville, TN
  • NPI 1972648319

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Stern Cardiovascular Center, PA

  • Cardiovascular Disease Physician
  • Germantown, TN
  • NPI 1699790311
  Medicare reassignment Care Compare group
• Allergy Associates, P.a.

  dba The Allergy, Asthma & Sinus Center

  • Specialist
  • Knoxville, TN
  • NPI 1073508347
  Medicare reassignment NPD
• Allergy Associates, PA

  dba The Allergy Asthma and Sinus Center

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1932566734
  NPD
• Tennessee Heart PLLC

  • Specialist
  • Cookeville, TN
  • NPI 1588733877
  NPD
• Allergy Associates PA

  dba The Allergy Asthma & Sinus Center

  • Specialist
  • Crossville, TN
  • NPI 1033371398
  NPD (past)
• Cookeville Regional Medical Center

  dba Cookeville Regional Medical Center Inpatient Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Cookeville, TN
  • NPI 1639293483
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1700327236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 7TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W 4TH ST STE 200",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012489",
            "telephone_number": "931-372-0405",
            "fax_number": "931-372-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "KESHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "22439",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q027421",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100470230",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1101 Primary Care, PLLC
• Benjamin Thomas Aaron, FNP-C
• Absolute Care (Absolute Care LLC)
• Ahmed Abumustafa
• Active and Mobile PLLC
• Gene Dewayne Adams, PA
• Nikki Lynn Adams, NP

• Nurse Practitioner in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.

Verify at the official NPI Registry.