Kristin Sisemore, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Franklin, Tennessee. Her current practice location is
2001 Mallory Ln Ste 100, Franklin, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 764-4450.
Kristin Sisemore is licensed to practice in Tennessee (license number 32543) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215652649.
Physician's Profile
| Full Name | Kristin Sisemore |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 2001 Mallory Ln Ste 100, Franklin, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215652649
- Provider Enumeration Date: 10/07/2022
- Last Update Date: 02/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547637241
- Enrollment ID: I20221109003083
Medical Identifiers
Medical identifiers for Kristin Sisemore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215652649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 32543 (Tennessee) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 32543 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | 32543 (Tennessee) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 32543 (Tennessee) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 32543 (Tennessee) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristin Sisemore allows following entities to bill medicare on her behalf.
| Entity Name | Vanderbilt University Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104202761
PECOS PAC ID: 5092023416
Enrollment ID: O20151006000369 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Sisemore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kristin Sisemore, APRN
3841 Green Hills Village Dr,
Nashville, TN 37215-2691
Ph: () - | Kristin Sisemore, APRN
2001 Mallory Ln Ste 100,
Franklin, TN 37067-8234
Ph: (615) 764-4450 |
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