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MRS. KRISTIN MCBAY NP-C
NPI 1093148959
Nurse Practitioner - Family in Shelbyville, TN

Active since August 14, 2013PECOS EnrolledAccepts Medicare Assignment
2012 N MAIN ST, SHELBYVILLE, TN 37160(931) 492-5290(931) 492-5292 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2022, Sep 26, 2019, Jul 18, 2019 and 2 more (5 updates tracked since 2018).

About Mrs. Kristin Mcbay Np-c NPPES

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

MRS. KRISTIN MCBAY NP-C (NPI 1093148959) is an individual family provider in Shelbyville, Tennessee, licensed in Tennessee (APN0000017782) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt Bedford Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093148959
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KRISTIN MCBAYCredential: NP-C
Location Address2012 N MAIN STShelbyville, TN 37160
Mailing Address2012 N Main StShelbyville, TN 37160-2022 · (931) 492-5290 · Fax (931) 492-5292
Phone(931) 492-5290
Fax(931) 492-5292
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 14, 2013
Last NPPES UpdateMay 23, 20225 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1093148959 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 · APN0000017782
2012 N MAIN ST, Shelbyville, TN 37160
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Mrs. Kristin Mcbay Np-c 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 ID4587899497
PECOS Enrollment IDI20160104000679
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 5

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.

Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
42 services24 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
33 services26 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
20 services14 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
16 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt Bedford Hospital

Acute Care Hospitals · Shelbyville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440137
Location2835 Hwy 231 NorthShelbyville, TN 37160 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37160 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers34 claims34 services$65.88 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$6.24 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier12 claims12 services$307.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims26 services$119.34 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers12 claims12 services$25.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

STACI SMITH FNP
Nurse Practitioner (Primary Care)
2012 N MAIN ST
SHELBYVILLE, TN 37160
Bedford County (931) 703-0829
FAITH FAMILY WELLNESS CLINIC, PLLC
Clinic/Center (Rural Health)
2012 N MAIN ST
SHELBYVILLE, TN 37160
Bedford County (931) 492-5290
GERALD T. MARTIN, D.D.S.
Dentist
2012 N MAIN ST
SHELBYVILLE, TN 37160
Bedford County (931) 684-6351
MR. GERALD THOMAS MARTIN D.D.S.
Dentist (General Practice)
2012 N MAIN ST
SHELBYVILLE, TN 37160
Bedford County (931) 684-6351

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 Kristin Mcbay's NPI number?

The NPI number for Kristin Mcbay is 1093148959. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Kristin Mcbay located?

Kristin Mcbay practices at 2012 N Main St, Shelbyville, TN 37160. The listed phone number is (931) 492-5290.

What is Kristin Mcbay's specialty?

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

Is Kristin Mcbay enrolled in Medicare?

Yes. Kristin Mcbay 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 Kristin Mcbay accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Kristin Mcbay 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 Kristin Mcbay affiliated with any hospitals?

According to CMS data, Kristin Mcbay is affiliated with Vanderbilt Bedford Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Mcbay was last updated on May 23, 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.