Kristen Grizzell Clingenpeel, FNP-BC - Medicare Nurse Practitioner in Jefferson City, TN

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Kristen Grizzell Clingenpeel, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jefferson City, Tennessee. Her current practice location is 2130 Branner Ave, Jefferson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 471-3350.

Kristen Grizzell Clingenpeel is licensed to practice in Tennessee (license number 28335) 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 1568060119.

Contact Information

Kristen Grizzell Clingenpeel, FNP-BC
2130 Branner Ave,
Jefferson City, TN 37760-2210
(865) 471-3350
(865) 471-4411

Map and Direction




Provider's Profile

Full NameKristen Grizzell Clingenpeel
GenderFemale
SpecialityNurse Practitioner - Family
Location2130 Branner Ave, Jefferson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568060119
  • Provider Enumeration Date: 10/15/2020
  • Last Update Date: 05/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698188134
  • Enrollment ID: I20201230002210

Medical Identifiers

Medical identifiers for Kristen Grizzell Clingenpeel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568060119NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 239244 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 28335 (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. Kristen Grizzell Clingenpeel allows following entities to bill medicare on her behalf.
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameWell-key Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114234382
PECOS PAC ID: 1254528763
Enrollment ID: O20101209001106

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. Kristen Grizzell Clingenpeel 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
Kristen Grizzell Clingenpeel, FNP-BC
2130 Branner Ave,
Jefferson City, TN 37760-2210

Ph: (865) 471-3350		Kristen Grizzell Clingenpeel, FNP-BC
2130 Branner Ave,
Jefferson City, TN 37760-2210

Ph: (865) 471-3350

Reviews and Comments


Nurse Practitioner Nurses in Jefferson City, TN

Mrs. Sally Ruth Hensley, APRN, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 153 E Broadway Blvd, Jefferson City, TN 37760
Phone: 865-471-5110    Fax: 865-471-5105
Barbara Jean Smith, MSN, RN, FNP-BC,CDE
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1004 N Highway 92, Suite C, Jefferson City, TN 37760
Phone: 865-475-6100    Fax: 865-475-6106
Kiara Regina Hackler, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 657 E Broadway Blvd Ste C, Jefferson City, TN 37760
Phone: 865-475-9062    Fax: 865-475-9063
Mr. Neil Edward Pressley, APRN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 153 E Broadway Blvd, Jefferson City, TN 37760
Phone: 865-475-9969    Fax: 865-475-9901
Dr. Betty Jo Ellington, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1413 Russell Ave, Jefferson City, TN 37760
Phone: 865-471-5525    
Katherine Besola, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1004 N Highway 92 Ste B, Jefferson City, TN 37760
Phone: 865-647-3400    Fax: 865-647-3401
Katherine Montoto, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 380 W Broadway Blvd Ste 130, Jefferson City, TN 37760
Phone: 865-584-4747    

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.