Kelli West, NNP in Kingsport, TN - Medicare Nurse Practitioner

Kelli West, NNP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Kingsport, Tennessee. Her current practice location is 105 W Stone Dr Ste 2a, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 230-2430.

Kelli West is licensed to practice in Tennessee (license number APN0000013618) 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 1538315817.

Contact Information

	Kelli West, NNP
	105 W Stone Dr Ste 2a, Kingsport, TN 37660-3365
	(423) 230-2430
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelli West
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	105 W Stone Dr Ste 2a, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538315817
Provider Enumeration Date: 08/18/2008
Last Update Date: 08/02/2024

Medicare PECOS Information:

PECOS PAC ID: 5597039461
Enrollment ID: I20230420001279

Medical Identifiers

Medical identifiers for Kelli West such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538315817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WN0002X	Registered Nurse - Neonatal Intensive Care	RN0000081544 (Tennessee)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	APN0000013618 (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. Kelli West allows following entities to bill medicare on her behalf.

Entity Name	Holston Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416

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. Kelli West 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
Kelli West, NNP Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2066	Kelli West, NNP 105 W Stone Dr Ste 2a, Kingsport, TN 37660-3365 Ph: (423) 230-2430

Reviews and Comments

Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3136 Winesap Rd, Kingsport, TN 37663 Phone: 423-726-2077
Lauren Ashley Ernst, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1041 E Sullivan St, Kingsport, TN 37660 Phone: 423-279-2777
Kelly A Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-230-5613
Sherry Lynn Goode, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663 Phone: 423-239-7300
Mrs. Amanda Susan Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660 Phone: --
Mary Renee Mcnees, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660 Phone: 423-765-9655 Fax: 423-979-6333

Kelli West, NNP - Medicare Nurse Practitioner in Kingsport, TN