KELLY NICOLE JENKINS AGACNP-BC
NPI 1053184432
Nurse Practitioner - Acute Care in Chattanooga, TN

Active since November 06, 2023PECOS EnrolledAccepts Medicare Assignment
6429 LEE HWY STE 103, CHATTANOOGA, TN 37421(800) 665-2850 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Nicole Jenkins Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY NICOLE JENKINS AGACNP-BC (NPI 1053184432) is an individual acute care provider in Chattanooga, Tennessee, licensed in Tennessee (34996) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Parkridge Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053184432
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLY NICOLE JENKINSCredential: AGACNP-BC
Location Address6429 LEE HWY STE 103Chattanooga, TN 37421-4778
Mailing Address3623 Parham DrChattanooga, TN 37412-1832 · (423) 771-5356
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 6, 2023
NPI 1053184432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TN · 34996
6429 LEE HWY STE 103, Chattanooga, TN 37421

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Nicole Jenkins Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234652082
PECOS Enrollment IDI20250402001096
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440156
Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
6429 LEE HWY STE 103
CHATTANOOGA, TN 37421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Jenkins's NPI number?

The NPI number for Kelly Jenkins is 1053184432. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Kelly Jenkins located?

Kelly Jenkins practices at 6429 Lee Hwy Ste 103, Chattanooga, TN 37421. The listed phone number is (800) 665-2850.

What is Kelly Jenkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kelly Jenkins enrolled in Medicare?

Yes. Kelly Jenkins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kelly Jenkins affiliated with any hospitals?

According to CMS data, Kelly Jenkins is affiliated with Parkridge Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Jenkins was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.