Kellie Humphrey, NP-C - Medicare Nurse Practitioner in Nashville, TN

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Kellie Humphrey, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Nashville, Tennessee. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Coffee Medical Group Llc and her current practice location is 5221 Ravens Gln, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 743-3559.

Kellie Humphrey is licensed to practice in Tennessee (license number 22357) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992245401.

Contact Information

Kellie Humphrey, NP-C
5221 Ravens Gln,
Nashville, TN 37211-8596
(931) 743-3559
(615) 577-3324

Map and Direction




Provider's Profile

Full NameKellie Humphrey
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location5221 Ravens Gln, Nashville, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kellie Humphrey graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1992245401
  • Provider Enumeration Date: 03/02/2017
  • Last Update Date: 11/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7911251426
  • Enrollment ID: I20181120002376

Medical Identifiers

Medical identifiers for Kellie Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992245401NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 22357 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Willowbrook Home Health CareNashville, TNHome health agency
Adoration Home Health, LlcNashville, TNHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coffee Medical Group Llc185020879432

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. Kellie Humphrey allows following entities to bill medicare on her behalf.
Entity NameCoffee Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013969179
PECOS PAC ID: 1850208794
Enrollment ID: O20031118000203
Entity NameHousecall Today, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326217852
PECOS PAC ID: 8921187691
Enrollment ID: O20120607000064

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. Kellie Humphrey 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
Kellie Humphrey, NP-C
1493 Anthony Way,
Mount Juliet, TN 37122-3558

Ph: (931) 743-3559		Kellie Humphrey, NP-C
5221 Ravens Gln,
Nashville, TN 37211-8596

Ph: (931) 743-3559

Reviews and Comments


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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.