Individual provider Active NPI

Kristi Deanne Duffield, PA-C

  • Physician Assistant
  • Jackson, TN
National Provider Identifier
1871700815
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TN 0425 Issued in TN
Practice address
616 W Forest Ave
Jackson, TN 38301-3902
Phone
(731) 574-3000
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TN 0425 TN Primary

Addresses

Primary practice location

616 W Forest Ave
Jackson, TN 38301-3902

Mailing address

1805 Williamson CT
Brentwood, TN 37027-8164
Phone (615) 331-5536

Other identifiers 1

IdentifierTypeStateIssuer
Q006550MedicaidTN

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
I20140909001409 TN Practitioner - Physician Assistant 4082833967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Extended Care Services PCGroup PAC ID 9133029127, 29 clinicians

Practice addresses (Care Compare)

3320 Perimeter Hill Dr
Nashville, TN 37211-4123
Phone (615) 866-9040

616 W Forest Ave
Jackson, TN 38301-3902
Phone (731) 574-3000

Merit-based Incentive Payment System (MIPS)

Final score
98.6 of 100Reported as group
Quality
89.33
Improvement activities
40
Cost
81.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TN 0425TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Isaac Spine Joint & Pain Institute CurrentSince Feb 28, 2020 Accepting new patients
Total Extended Care Services PC CurrentSince Dec 1, 2025 Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

616 W Forest Ave
Jackson, TN 38301
Phone (731) 422-0330

2650 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 758-4100

2004 Hayes St
Ste 655
Nashville, TN 37203
Phone (615) 866-9040

3320 Perimeter Hill Dr
Nashville, TN 37211
Phone (615) 502-0952

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJIBCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1871700815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 WILLIAMSON CT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278164",
            "telephone_number": "615-331-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W FOREST AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013902",
            "telephone_number": "731-574-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFIELD",
        "first_name": "KRISTI",
        "middle_name": "DEANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "TN 0425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006550",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.