Individual provider Active NPI

McKenna P. Krebs, PA-C

  • Medical Physician Assistant
  • Mount Juliet, TN
National Provider Identifier
1881305522
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5229 Issued in TN
Practice address
5003 Crossings Cir Ste 200
Mount Juliet, TN 37122-8568
Phone
(615) 872-9966
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5229 TN Primary

Addresses

Primary practice location

5003 Crossings Cir Ste 200
Mount Juliet, TN 37122-8568

Mailing address

5003 Crossings Cir Ste 200
Mount Juliet, TN 37122-8568
Phone (615) 872-9966

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
I20221220001880 TN Practitioner - Physician Assistant 2769851443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

1001 Gallatin Ave
Nashville, TN 37206-3231
Phone 8328694818235

1303 SE Broad St
Murfreesboro, TN 37130-5652
Phone (832) 869-4818

397 Wallace Rd
Suite 206
Nashville, TN 37211-4854
Phone 8328694818235

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Spine, Joint & Neuromuscular Rehabilitation CurrentSince Feb 6, 2024 Accepting new patients
Center for Spine Joint and Neuromuscular Rehab PC CurrentSince Feb 6, 2024 Accepting new patients
Center for Spine Joint and Neuromuscular Rehab PC Past Accepting new patients

Locations

1605 Westgate Cir
Ste 200
Brentwood, TN 37027

5003 Crossings Cir
Ste 200
Mt Juliet, TN 37122
Phone (615) 773-4128

520 Highland Ter
Ste D
Murfreesboro, TN 37130
Phone (615) 802-5900

Interoperability endpoints

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

Organizations & group practices 5

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1881305522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 CROSSINGS CIR STE 200",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228568",
            "telephone_number": "615-872-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 CROSSINGS CIR STE 200",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228568",
            "telephone_number": "615-872-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBS",
        "first_name": "MCKENNA",
        "middle_name": "P.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "5229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.