Wps Providers Inc - Medicare Primary Care in Kingsport, TN

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Wps Providers Inc is a medicare enrolled primary clinic (General Practice) in Kingsport, Tennessee. The current practice location for Wps Providers Inc is 130 W Ravine Rd, Kingsport, Tennessee. For appointments, you can reach them via phone at (423) 224-4000. The mailing address for Wps Providers Inc is 105 W Stone Dr, Suite 6a, Kingsport, Tennessee and phone number is (423) 408-7220.

Wps Providers Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003904095. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (423) 224-4000.

Contact Information

Wps Providers Inc
130 W Ravine Rd
Kingsport
TN 37660-3837
(423) 224-4000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameWps Providers Inc
SpecialityGeneral Practice
Location130 W Ravine Rd, Kingsport, Tennessee
Authorized Official Name and PositionJuanita L Harwood (DIRECTOR)
Authorized Official Contact4233026565
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wps Providers Inc
105 W Stone Dr
Suite 6a
Kingsport
TN 37660-3365

Ph: (423) 408-7220		Wps Providers Inc
130 W Ravine Rd
Kingsport
TN 37660-3837

Ph: (423) 224-4000

NPI Details:

NPI Number1003904095
Provider Enumeration Date10/11/2006
Last Update Date05/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7719079532
Medicare Enrollment IDO20070824000581

Medical Identifiers

Medical identifiers for Wps Providers Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003904095NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wps Providers Inc acts as a billing entity for following providers:
Provider NameHiren B Patel
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1225042831
PECOS PAC ID: 2961481437
Enrollment ID: I20040717000379
Provider NameShelby G Olds
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205832169
PECOS PAC ID: 3274528799
Enrollment ID: I20040831000397
Provider NameJean M Mancini
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013914308
PECOS PAC ID: 7517934672
Enrollment ID: I20040916000937
Provider NameSteven J Baumrucker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841239969
PECOS PAC ID: 8628093515
Enrollment ID: I20051010000914
Provider NameSuzanne E Patton
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1902801228
PECOS PAC ID: 4486552049
Enrollment ID: I20060220000554
Provider NameKelley D Mayden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871526194
PECOS PAC ID: 9638188303
Enrollment ID: I20060410000137
Provider NameSidney W Collins
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1083624365
PECOS PAC ID: 9032115654
Enrollment ID: I20061004000538
Provider NameDavid N Gwaltney
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1538264064
PECOS PAC ID: 1355341678
Enrollment ID: I20070110000028
Provider NameFelicia J Brickey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467575662
PECOS PAC ID: 6305947987
Enrollment ID: I20070726000349
Provider NameMarta J Wayt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316903099
PECOS PAC ID: 8426149048
Enrollment ID: I20070810000098
Provider NameShari K Rajoo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730149790
PECOS PAC ID: 6305806332
Enrollment ID: I20070815000881
Provider NameJennifer R Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689844375
PECOS PAC ID: 7416035688
Enrollment ID: I20080429000400
Provider NameWendy Vogel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497748362
PECOS PAC ID: 2860551975
Enrollment ID: I20081104000720
Provider NameIbrahim N Nakhoul
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1871538389
PECOS PAC ID: 6507865870
Enrollment ID: I20090818000838
Provider NameStephanie A Adams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023289493
PECOS PAC ID: 4385787506
Enrollment ID: I20100210000047
Provider NameAsheesh Shipstone
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1144297946
PECOS PAC ID: 4082759790
Enrollment ID: I20100305000597
Provider NameDouglass Green
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871590166
PECOS PAC ID: 3577504604
Enrollment ID: I20100604000383
Provider NameJohn A Green
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740288380
PECOS PAC ID: 5092782615
Enrollment ID: I20100604000405
Provider NameThomas Green
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932106093
PECOS PAC ID: 1850332982
Enrollment ID: I20100607000036
Provider NameJamal G Maatouk
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1205016060
PECOS PAC ID: 6709910110
Enrollment ID: I20100819000906
Provider NameMyra Blankenship
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760668271
PECOS PAC ID: 0840273397
Enrollment ID: I20100823000425
Provider NameMarco A Da Silva
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1063489649
PECOS PAC ID: 7618901034
Enrollment ID: I20101011000694
Provider NameElla F Meade
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1174717235
PECOS PAC ID: 5092901710
Enrollment ID: I20101120000001
Provider NameJesse B Begley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851609903
PECOS PAC ID: 7719174119
Enrollment ID: I20101210000899
Provider NameLiliana Murillo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861688533
PECOS PAC ID: 4981875390
Enrollment ID: I20110915000255
Provider NameHarry P Claybrook
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801892765
PECOS PAC ID: 1759376270
Enrollment ID: I20111114000498
Provider NameBernard P Grunstra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558367417
PECOS PAC ID: 6305831819
Enrollment ID: I20111115000691
Provider NameKimberly Nichols
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619251626
PECOS PAC ID: 0749447753
Enrollment ID: I20120202000585
Provider NameRobin E Bowman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629331178
PECOS PAC ID: 9638328917
Enrollment ID: I20121002000012
Provider NameJean Y Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326390592
PECOS PAC ID: 9032361365
Enrollment ID: I20121212000293
Provider NamePaige C Furrow
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1720268667
PECOS PAC ID: 5597931816
Enrollment ID: I20130802000498
Provider NameKevin K Blake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174957864
PECOS PAC ID: 1759518509
Enrollment ID: I20131226000636
Provider NameNatosha L Matlock-carr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417351891
PECOS PAC ID: 7113242983
Enrollment ID: I20150408000645
Provider NameRyan W Shao
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1649406190
PECOS PAC ID: 1759521867
Enrollment ID: I20150801017376
Provider NameAmanda B Stevens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063755502
PECOS PAC ID: 8729385802
Enrollment ID: I20160405001497
Provider NameMiranda D Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629495247
PECOS PAC ID: 4183843790
Enrollment ID: I20160818001633
Provider NameJessica N Bembry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043769490
PECOS PAC ID: 9234418831
Enrollment ID: I20161123001027
Provider NameTamara L Musgrave
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1922018605
PECOS PAC ID: 5395837330
Enrollment ID: I20170424002093
Provider NameCarissa Depew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477079861
PECOS PAC ID: 7517232986
Enrollment ID: I20171011001258
Provider NameLeslie Bodo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275050627
PECOS PAC ID: 4385900281
Enrollment ID: I20171109000684
Provider NameApril A Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427564079
PECOS PAC ID: 4385904358
Enrollment ID: I20180712003404
Provider NameAshley T Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124538780
PECOS PAC ID: 2163779448
Enrollment ID: I20180717004253
Provider NameMisty Dawn Dockery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730655671
PECOS PAC ID: 4789925744
Enrollment ID: I20190401002254
Provider NameShirley J Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104390285
PECOS PAC ID: 1456692185
Enrollment ID: I20190408000807
Provider NameKelly Vanover Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154893998
PECOS PAC ID: 2860733219
Enrollment ID: I20190411001502
Provider NameWhitney L Maden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932754934
PECOS PAC ID: 2062743750
Enrollment ID: I20191010001660
Provider NameShannon Fullen-roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245645118
PECOS PAC ID: 1951522127
Enrollment ID: I20191114003613
Provider NameAlicia Deirth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225670128
PECOS PAC ID: 8820423460
Enrollment ID: I20200108002948
Provider NameYonette Paul-ennis
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1790192565
PECOS PAC ID: 1355631714
Enrollment ID: I20200914001939
Provider NameJessica Mccracken
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1972843563
PECOS PAC ID: 8820229081
Enrollment ID: I20201217001495
Provider NameBreanna Caudill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831716240
PECOS PAC ID: 3870910094
Enrollment ID: I20210107000766
Provider NameMelissa Broome
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811394638
PECOS PAC ID: 4587070214
Enrollment ID: I20210304000779
Provider NameKaitlyn Elizabeth Jaynes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841883105
PECOS PAC ID: 8325447808
Enrollment ID: I20210603001731
Provider NameWhitney Fullen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548748486
PECOS PAC ID: 1951653229
Enrollment ID: I20220304000721
Provider NameKara Elaine Bales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366102675
PECOS PAC ID: 7911394804
Enrollment ID: I20220422001918
Provider NameHeather Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174029524
PECOS PAC ID: 0345635371
Enrollment ID: I20220526001659
Provider NameLaura Slaughter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063123412
PECOS PAC ID: 0941672752
Enrollment ID: I20230203001736
Provider NameBetty Christian Kinser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972077816
PECOS PAC ID: 2961867205
Enrollment ID: I20230420002019
Provider NameDivis Khaira
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285637298
PECOS PAC ID: 7810981727
Enrollment ID: I20230516000371
Provider NameNimesh Adhikari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417470832
PECOS PAC ID: 4587935085
Enrollment ID: I20230516000465
Provider NameGehan Botrus
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1275910911
PECOS PAC ID: 9537415625
Enrollment ID: I20230802000953
Provider NameLauren Alexander Barrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326726449
PECOS PAC ID: 3173987161
Enrollment ID: I20230908002384
Provider NameKaycee Farlow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215714647
PECOS PAC ID: 5294182903
Enrollment ID: I20231116002564
Provider NameDennis Charles Desimone
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1255599130
PECOS PAC ID: 4688840150
Enrollment ID: I20231221001103
Provider NameSarah Arif
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1366974768
PECOS PAC ID: 3779025622
Enrollment ID: I20240606001298

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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.