Kelsey Horner Fredericks, NP - Medicare Nurse Practitioner in Knoxville, TN

Kelsey Horner Fredericks, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Knoxville, Tennessee. Her current practice location is 2018 Clinch Ave, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 541-8266.

Kelsey Horner Fredericks is licensed to practice in Tennessee (license number 20848) 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 1922450758.

Contact Information

Kelsey Horner Fredericks, NP
2018 Clinch Ave,
Knoxville, TN 37916
(865) 541-8266
(865) 541-8553

Map and Direction




Provider's Profile

Full NameKelsey Horner Fredericks
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location2018 Clinch Ave, Knoxville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922450758
  • Provider Enumeration Date: 07/05/2016
  • Last Update Date: 04/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022392398
  • Enrollment ID: I20170306000362

Medical Identifiers

Medical identifiers for Kelsey Horner Fredericks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922450758NPI-NPPES
Q049909MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 20848 (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. Kelsey Horner Fredericks allows following entities to bill medicare on her behalf.
Entity NamePediatric Physician Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770532798
PECOS PAC ID: 7113989849
Enrollment ID: O20041103001044

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. Kelsey Horner Fredericks 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
Kelsey Horner Fredericks, NP
Po Box 15010,
Knoxville, TN 37901-5010

Ph: (865) 541-8187
Kelsey Horner Fredericks, NP
2018 Clinch Ave,
Knoxville, TN 37916

Ph: (865) 541-8266

Reviews and Comments


Nurse Practitioner Nurses in Knoxville, TN

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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.