Individual provider Active NPI

Kelli J Newsome, FNP-BC

  • Family Nurse Practitioner
  • Alcoa, TN
National Provider Identifier
1932443355
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000024634 Issued in TN
Practice address
220 Associates Blvd
Alcoa, TN 37701-1943
Phone
(865) 238-6400
Fax
(865) 238-6404
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000024634 TN Primary

Addresses

Primary practice location

220 Associates Blvd
Alcoa, TN 37701-1943

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

266 Joule St
Alcoa, TN 37701-2422
Phone (865) 984-3864

Other identifiers 1

IdentifierTypeStateIssuer
Q048689MedicaidTN

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
I20190702000271 TN Practitioner - Nurse Practitioner 9335384916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

266 Joule St
Alcoa, TN 37701-2422
Phone (865) 984-3864

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 983-7211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000024634TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC CurrentSince Dec 1, 2025 Accepting new patients
Blount Memorial Physician Group, Inc CurrentSince May 15, 2019 Accepting new patients

Locations

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

220 Associates Blvd
Alcoa, TN 37701
Phone (865) 238-6400

266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100

103 W Broadway Ave
Maryville, TN 37801

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

Interoperability endpoints

  • Direct secure messaging: kelli.newsome.p1@direct.bmpg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1932443355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ASSOCIATES BLVD",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011943",
            "telephone_number": "865-238-6400",
            "fax_number": "865-238-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 Joule St",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377012422",
            "country_code": "US",
            "telephone_number": "865-984-3864",
            "fax_number": "865-380-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "KELLI",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000024634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q048689",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcoa, TN

Sources for this page

Verify at the official NPI Registry.