Kellie O'connell Sallis, ACNP-BC - Medicare Nurse Practitioner in Lebanon, TN

  1. Home
  2. Nurse Practitioner
  3. TN
  4. Lebanon
Kellie O'connell Sallis, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Lebanon, Tennessee. Her current practice location is 1423 W Baddour Pkwy, Lebanon, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 257-0900.

Kellie O'connell Sallis is licensed to practice in Tennessee (license number 17137) 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 1669726386.

Contact Information

Kellie O'connell Sallis, ACNP-BC
1423 W Baddour Pkwy,
Lebanon, TN 37087-3061
(615) 257-0900
(615) 443-1444

Map and Direction




Provider's Profile

Full NameKellie O'connell Sallis
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1423 W Baddour Pkwy, Lebanon, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669726386
  • Provider Enumeration Date: 11/02/2012
  • Last Update Date: 10/20/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2062665623
  • Enrollment ID: I20130109000570

Medical Identifiers

Medical identifiers for Kellie O'connell Sallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669726386NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 17137 (Tennessee)Primary
363LC0200XNurse Practitioner - Critical Care Medicine 17137 (Tennessee)Secondary

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 O'connell Sallis allows following entities to bill medicare on her behalf.
Entity NameT Scott Baker Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023109105
PECOS PAC ID: 3072551647
Enrollment ID: O20050422001193

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 O'connell Sallis 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 O'connell Sallis, ACNP-BC
Po Box 1165,
Lebanon, TN 37088-1165

Ph: (615) 257-0900		Kellie O'connell Sallis, ACNP-BC
1423 W Baddour Pkwy,
Lebanon, TN 37087-3061

Ph: (615) 257-0900

Reviews and Comments


Nurse Practitioner Nurses in Lebanon, TN

Ashley Anderson Mccormack,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1670 W Main St Ste 140, Lebanon, TN 37087
Phone: 615-994-8201    
Ali N Sorrell, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1418 W Main St, Lebanon, TN 37087
Phone: 615-453-7720    
Justin Groce, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 115 Winwood Dr, Suite 105, Lebanon, TN 37087
Phone: 615-444-4126    Fax: 855-785-2890
Mrs. Brandi Lindsey, R. N., C.P.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1405 W Baddour Pkwy, Ste. 101, Lebanon, TN 37087
Phone: 615-449-5611    Fax: 615-444-7882
Ms. Kristy M Blaney, RN, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Physicians Way, Suite 250, Lebanon, TN 37090
Phone: 615-444-3307    
Kathleen Elizabeth Miller,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2605 Mann Rd, Lebanon, TN 37087
Phone: 615-598-5490    
Carlie Morrison, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 365 S Hartmann Dr Ste 104, Lebanon, TN 37087
Phone: 615-243-8984    

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.