Individual provider Active NPI

Kelly Motter, NP

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1992571996
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
34480 Issued in TN
Practice address
9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205
Phone
(865) 690-4861
Fax
(865) 560-8525
NPI assigned
Nov 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 34480 TN Primary

Addresses

Primary practice location

9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 694-0062

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
I20240214001141 TN Practitioner - Nurse Practitioner 7012351471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

1819 Clinch Ave
Knoxville, TN 37916-2435

8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600

961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Phone (865) 483-1906

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Dec 30, 2023 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Dec 30, 2023 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

9430 Park West Blvd
Ste 130
Knoxville, TN 37923
Phone (865) 694-8353

4882 Harvest Mill Way
Knoxville, TN 37918
Phone (865) 560-8550

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

1679 Veterans Blvd
Sevierville, TN 37862
Phone (865) 401-9062

Interoperability endpoints

  • Direct secure messaging: kelly.motter.p2@direct.toa.nextgenshare.com

Organizations & group practices 3

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": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1992571996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "865-694-0062",
            "fax_number": "865-694-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 130",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234205",
            "telephone_number": "865-690-4861",
            "fax_number": "865-560-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTER",
        "first_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "34480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.