Tess Quesenberry

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3010 Eastwood Dr
Crestwood, KY 40014-8626

Phone

(502) 457-6113

NPI assigned

Dec 21, 2020

Last updated

Dec 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, VI2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alpha Psychiatric Services LLCGroup PAC ID 7911246517, 6 clinicians

The St Thomas East End Medical Center CorporationGroup PAC ID 1153366398, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: tess.quesenberry.1@29322.direct.athenahealth.com

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.

• Alpha Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
  • NPI 1427525294
  Medicare reassignment Care Compare group
• The St Thomas East End Medical Center Corporation

  • Federal Public Health Clinic/Center
  • St Thomas, VI
  • NPI 1891799763
  Medicare reassignment Care Compare group
• Michael Markopoulos MD Inc

  dba Hospital Psychiatric And Medical Group

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1023388113
  NPD (past)

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1952997215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 EASTWOOD DR",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148626",
            "telephone_number": "502-457-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 EASTWOOD DR",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148626",
            "telephone_number": "502-457-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUESENBERRY",
        "first_name": "TESS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PPL Rehab Services PLLC
• PPL Therapeutic Services PLLC
• Prorehab Louisville
• Michael Ames Punnett, MD
• Lori Ann Pyle, MS CCC-SLP
• Tracy Lynn Ragland, MD
• Judy Lee Ragsdale, R.N.
• Melanie Rances, CCC-SLP
• Deanne Elizabeth Ratterman, OT
• Amanda Elizabeth Reddin, PT

• Physician Assistant in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.

Verify at the official NPI Registry.