Active NPI
Kellie L Mathewson, NP
- Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 15629
- Practice address
- 2030 Falling Waters Rd Ste 325
Knoxville, TN 37922-5893 - Phone
- (865) 951-1300
- NPI assigned
- Mar 15, 2011
- Last updated
- Jul 25, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 15629 | TN | Primary |
| Registered Nurse | 163W00000X | 112416 | TN |
Addresses
Primary practice location
2030 Falling Waters Rd Ste 325
Knoxville, TN 37922-5893
Mailing address
2030 Falling Waters Rd Ste 325
Knoxville, TN 37922-5893
Phone (865) 951-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1523154 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
420 W Morris Blvd
Suite 400a
Morristown, TN 37813-2262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112416 | TN | MD | Registered Nurse |
| 15629 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthstar Physicians, P.C. | Current | Accepting new patients | |
| University Health System Inc | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Blount Memorial Physician Group, Inc | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| Healthstar Physicians PC | Current | Accepting new patients | |
| Summit View Health Services LLC | Current | Accepting new patients | |
| Summit View Health Services, LLC | Current | Accepting new patients | |
| Summit Medical Group PLLC | Past | Accepting new patients | |
| Summit Medical Group,PLLC | Past | Accepting new patients |
Locations
2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960
657 E Broadway Blvd
Ste A
Jefferson City, TN 37760
Phone (865) 475-3101
657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717
10805 Harding Dr
Knoxville, TN 37932
Phone (865) 675-6444
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
12823 Kingston Pike
Knoxville, TN 37934
Phone (865) 862-8100
1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 544-6570
2030 Falling Waters Rd
Ste 325
Knoxville, TN 37922
Phone (865) 951-1300
2240 Sutherland Ave
Ste 104
Knoxville, TN 37919
Phone 8659090090 ext. 222
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
8975 Executive Park Dr
Ste 200
Knoxville, TN 37923
Phone (865) 691-4100
9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
458 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5355
463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100
420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kellie.mathewson.1@3525.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
dba Cool Springs Internal Medicine and Pediatrics
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1952557381
-
dba UT Internal Medicine Pellissippi
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Nurse Practitioner
- Harriman, TN
- NPI 1831322973
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
-
- Pain Medicine (Anesthesiology) Physician
- Morristown, TN
- NPI 1841187648
-
- Family Medicine Physician
- Morristown, TN
- NPI 1184610248
-
dba Fort Loudon Family Medical Center
- Family Medicine Physician
- Lenoir City, TN
- NPI 1447339742
-
- Gerontology Nurse Practitioner
- Knoxville, TN
- NPI 1952331647
-
dba University Thoracic Surgeons
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
dba UT Internists
- Internal Medicine Physician
- Knoxville, TN
- NPI 1609292010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1780983841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 FALLING WATERS RD STE 325",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379225893",
"telephone_number": "865-951-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 FALLING WATERS RD STE 325",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379225893",
"telephone_number": "865-951-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWSON",
"first_name": "KELLIE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-15",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "15629",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "112416",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1523154",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.