Individual provider Active NPI

Kristi Nicole Wells, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1861054272
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25995 Issued in TN
Practice address
320 Park 40 North Blvd
Suite a
Knoxville, TN 37923-3624
Phone
(865) 692-3462
Fax
(865) 692-3463
NPI assigned
Jul 5, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 176231 TN
Family Nurse Practitioner 363LF0000X 25995 TN Primary

Addresses

Primary practice location

320 Park 40 North Blvd
Suite a
Knoxville, TN 37923-3624

Mailing address

320 Park 40 North Blvd
Suite a
Knoxville, TN 37923-3624
Phone (865) 692-3462

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
I20191018000374 TN Practitioner - Nurse Practitioner 7517298714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Kidney Center, PLLCGroup PAC ID 2668485558, 13 clinicians

Practice addresses (Care Compare)

320 Park 40 N Blvd
Suite a
Knoxville, TN 37923-3624
Phone (865) 692-3462

Merit-based Incentive Payment System (MIPS)

Final score
84.16 of 100Reported as group
Quality
50.68
Promoting interoperability
100
Improvement activities
40
Cost
79.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176231TNMDRegistered Nurse
25995TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Kidney Center, PLLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

320 N Park 40 Blvd
#A
Knoxville, TN 37923
Phone (865) 692-3462

Interoperability endpoints

  • Direct secure messaging: krobinet@yourcarecommunity.org
  • Direct secure messaging: kwells58570@direct.acumenmd.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1861054272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PARK 40 NORTH BLVD",
            "address_2": "SUITE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-692-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PARK 40 NORTH BLVD",
            "address_2": "SUITE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-692-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KRISTI",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "176231",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.