Kelley Nicole Fowler, NP - Medicare Nurse Practitioner in Selmer, TN

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Kelley Nicole Fowler, NP is a medicare enrolled "Nurse Practitioner" in Selmer, Tennessee. Her current practice location is 270 E Court Ave, Selmer, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 645-7932.

Kelley Nicole Fowler is licensed to practice in Tennessee (license number 34876) 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 1730961178.

Contact Information

Kelley Nicole Fowler, NP
270 E Court Ave,
Selmer, TN 38375-2304
(731) 645-7932
(731) 645-5195

Map and Direction




Provider's Profile

Full NameKelley Nicole Fowler
GenderFemale
SpecialityNurse Practitioner
Location270 E Court Ave, Selmer, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730961178
  • Provider Enumeration Date: 10/19/2023
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9537518832
  • Enrollment ID: I20231212002935

Medical Identifiers

Medical identifiers for Kelley Nicole Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730961178NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 34876 (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. Kelley Nicole Fowler allows following entities to bill medicare on her behalf.
Entity NameWest Tennessee Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053615955
PECOS PAC ID: 3971781006
Enrollment ID: O20110621000009

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. Kelley Nicole Fowler 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 AddressPractice Location Address
Kelley Nicole Fowler, NP
115 Grace Thomas Rd,
Michie, TN 38357-7042

Ph: (731) 610-2643		Kelley Nicole Fowler, NP
270 E Court Ave,
Selmer, TN 38375-2304

Ph: (731) 645-7932

Reviews and Comments


Nurse Practitioner Nurses in Selmer, TN

Matthew King, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 641 E Poplar Ave, Selmer, TN 38375
Phone: 731-645-5753    
Tiffany B Gray, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 270 E Court Ave Ste B, Selmer, TN 38375
Phone: 731-645-7932    Fax: 731-645-5195
Mr. Kevin Majors, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 714 Federal Dr, Selmer, TN 38375
Phone: 731-645-7952    Fax: 731-645-8898
Lashon Conner, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 641 E Poplar Ave, Selmer, TN 38375
Phone: 731-645-5753    Fax: 731-645-9885
Mrs. Ginger Maness, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1021 Mulberry Ave, Selmer, TN 38375
Phone: 731-646-1781    
Rhonda L Hunt, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 832 Mulberry Ave, Selmer, TN 38375
Phone: 731-434-0200    Fax: 731-434-0203
Cindy Tubbs,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 725 E Poplar Ave, Selmer, TN 38375
Phone: 731-645-3474    Fax: 731-645-4530

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.