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KELLYE FRYAR FNP
NPI 1063157857
Nurse Practitioner - Family in Cleveland, TN

Active since May 05, 2022PECOS EnrolledAccepts Medicare Assignment
463 1ST ST NW, CLEVELAND, TN 37311(423) 790-7662(423) 790-7664 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellye Fryar Fnp NPPES

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

KELLYE FRYAR FNP (NPI 1063157857) is an individual family provider in Cleveland, Tennessee, licensed in Tennessee (31553) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Tennova Health Care-cleveland, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063157857
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLYE FRYARCredential: FNP
Location Address463 1ST ST NWCleveland, TN 37311-1760
Mailing Address4662 E Circle Dr NwCleveland, TN 37312-4101 · (423) 790-7662 · Fax (423) 790-7664
Phone(423) 790-7662
Fax(423) 790-7664
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 5, 2022
NPPES CertifiedMay 4, 2022
✔ NPI 1063157857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 31553
463 1ST ST NW, Cleveland, TN 37311
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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

Kellye Fryar Fnp 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 ID6507244076
PECOS Enrollment IDI20220613001003
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
839 services161 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
65 services45 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440185
Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37311 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 8

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

BAILEY GRACE BAKER APN
Nurse Practitioner (Psychiatric/Mental Health)
463 1ST ST NW
CLEVELAND, TN 37311
Bradley County (423) 790-7662
DERR CHIROPRACTIC
Chiropractor (Sports Physician)
463 1ST ST NW
CLEVELAND, TN 37311
Bradley County (423) 479-9487
DR. LORA KAY DERR DC
Chiropractor
463 1ST ST NW
CLEVELAND, TN 37311
Bradley County (423) 479-9487
JASMINE CELESTE FNP-C
Nurse Practitioner (Family)
463 1ST ST NW
CLEVELAND, TN 37311
Bradley County (423) 790-7662
DR. LARRY DOUGLAS PATTERSON DC
Chiropractor
463 1ST ST NW
CLEVELAND, TN 37311
Bradley County (423) 479-9487
VERONICA DEMARIA FNP-BC
Nurse Practitioner (Family)
463 1ST ST NW
CLEVELAND, TN 37311
Bradley County (423) 790-7662
ELIZABETH MALONEY CROCKETT MSN, FNP-C
Nurse Practitioner (Family)
463 1ST ST NW
CLEVELAND, TN 37311
Bradley County (423) 790-7662
VALENTINA RANEY NP
Nurse Practitioner (Gerontology)
463 1ST ST NW
CLEVELAND, TN 37311
Bradley County (423) 790-7662

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 Kellye Fryar's NPI number?

The NPI number for Kellye Fryar is 1063157857. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Kellye Fryar located?

Kellye Fryar practices at 463 1st St NW, Cleveland, TN 37311. The listed phone number is (423) 790-7662.

What is Kellye Fryar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kellye Fryar enrolled in Medicare?

Yes. Kellye Fryar 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.

What insurance does Kellye Fryar accept?

Health plans from BlueCross BlueShield of Tennessee list Kellye Fryar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kellye Fryar affiliated with any hospitals?

According to CMS data, Kellye Fryar is affiliated with Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Kellye Fryar was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.