Kellie L Mathewson, NP - Medicare Nurse Practitioner in Knoxville, TN

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Kellie L Mathewson, NP is a medicare enrolled "Nurse Practitioner" in Knoxville, Tennessee. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sr Medical Services and her current practice location is 2240 Sutherland Ave, Suite 104, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 909-0090.

Kellie L Mathewson is licensed to practice in Tennessee (license number 15629) 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 1780983841.

Contact Information

Kellie L Mathewson, NP
2240 Sutherland Ave, Suite 104,
Knoxville, TN 37919-2333
(865) 909-0090
(865) 909-9883

Map and Direction




Provider's Profile

Full NameKellie L Mathewson
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location2240 Sutherland Ave, Knoxville, 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 L Mathewson graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1780983841
  • Provider Enumeration Date: 03/15/2011
  • Last Update Date: 09/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7315121225
  • Enrollment ID: I20110418000258

Medical Identifiers

Medical identifiers for Kellie L Mathewson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780983841NPI-NPPES
1523154MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 15629 (Tennessee)Primary
163W00000XRegistered Nurse 112416 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Abilisheath Knoxville, LlcKnoxville, TNHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sr Medical Services66089314986

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 L Mathewson allows following entities to bill medicare on her behalf.
Entity NameUniversity Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790738763
PECOS PAC ID: 5294646378
Enrollment ID: O20031111000809
Entity NameSummit Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793
Entity NameAmerican Anesthesiology Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609822998
PECOS PAC ID: 9931001922
Enrollment ID: O20040713001364
Entity NameSummit View Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952557381
PECOS PAC ID: 7113971599
Enrollment ID: O20050309000999
Entity NameSr Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831322973
PECOS PAC ID: 6608931498
Enrollment ID: O20090211000156

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 L Mathewson 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 L Mathewson, NP
1225 E Weisgarber Rd, Suite 200,
Knoxville, TN 37909-2604

Ph: (865) 584-4747		Kellie L Mathewson, NP
2240 Sutherland Ave, Suite 104,
Knoxville, TN 37919-2333

Ph: (865) 909-0090

Reviews and Comments


Nurse Practitioner Nurses in Knoxville, TN

Mrs. Patricia M Huddleston, NP
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Phone: 865-305-6955    Fax: 865-305-8238
Mrs. Sara A Jones, ANP
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Practice Location: 1926 Alcoa Hwy Ste 410, Knoxville, TN 37920
Phone: 865-305-8780    Fax: 865-305-8199
Rachel Payne, NP
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Practice Location: 501 20th St Ste 505, Knoxville, TN 37916
Phone: 865-546-0157    Fax: 865-374-2177
Cynthia Gail Meadows, NP
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Practice Location: 1926 Alcoa Hwy Bldg F Ste 380, Knoxville, TN 37920
Phone: 865-544-9171    Fax: 865-305-6886
Emily A. Radcliffe, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 9333 Park West Blvd, Knoxville, TN 37923
Phone: 865-531-4600    Fax: 865-690-2271
Sydney Wallace Sherrell, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1600 Accelerator Way Ste 200, Knoxville, TN 37920
Phone: 865-546-2663    
Madeline Kaye Dangerfield, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11416 Grigsby Chapel Rd, Ste 103, Knoxville, TN 37934
Phone: 865-966-2688    Fax: 865-777-0613

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.