AMY KELLEY NP
NPI 1093502346
Nurse Practitioner - Family in Knoxville, TN

Active since April 21, 2025PECOS EnrolledAccepts Medicare Assignment
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919(877) 516-7492 Get Directions Write a Review

NPPES record last updated: August 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 29, 2026, Jan 12, 2026 (2 updates tracked since 2026).

About Amy Kelley Np NPPES

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

AMY KELLEY NP (NPI 1093502346) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (38546) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1093502346
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY KELLEYCredential: NP
Location Address265 BROOKVIEW CENTRE WAY STE 400Knoxville, TN 37919-4052
Mailing Address129 Weston DrCookeville, TN 38506-1508 · (931) 310-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 21, 2025
Last NPPES UpdateAugust 29, 20262 updates tracked since enumeration
NPPES CertifiedAugust 29, 2026
✔ NPI 1093502346 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 · 38546
265 BROOKVIEW CENTRE WAY STE 400, Knoxville, TN 37919

Secondary Practice Location 1

Location 19400 Rhea County HwyDayton, TN 37321-7922 · Phone (423) 775-1121

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Kelley Np 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 ID7719477397
PECOS Enrollment IDI20251104000606
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Amy Kelley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
Internal Medicine
1 MEDICAL PARK BLVD
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 230 clinicians in this Medicare group
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Tennessee enrollment
  • 227 clinicians in this Medicare group
Nurse Practitioner
2565 N WASHINGTON AVE
Brownsville, TN 38012
  • Reassigned Medicare billing, Tennessee enrollment
  • 129 clinicians in this Medicare group
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Tennessee enrollment
  • 253 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37919 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 20

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

Nurse Practitioner (Family)
265 BROOKVIEW CENTRE WAY STE 400
KNOXVILLE, TN 37919
Nurse Practitioner (Psychiatric/Mental Health)
265 BROOKVIEW CENTRE WAY STE 400
KNOXVILLE, TN 37919
Physician Assistant
265 BROOKVIEW CENTRE WAY STE 400
KNOXVILLE, TN 37919
Nurse Practitioner (Family)
265 BROOKVIEW CENTRE WAY STE 400
KNOXVILLE, TN 37919
Physician Assistant
265 BROOKVIEW CENTRE WAY STE 400
KNOXVILLE, TN 37919
Emergency Medicine
265 BROOKVIEW CENTRE WAY STE 400
KNOXVILLE, TN 37919
Clinic/Center (Urgent Care)
265 BROOKVIEW CENTRE WAY STE 400
KNOXVILLE, TN 37919
Nurse Practitioner (Psychiatric/Mental Health)
265 BROOKVIEW CENTRE WAY STE 400
KNOXVILLE, TN 37919

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 Amy Kelley's NPI number?

The NPI number for Amy Kelley is 1093502346. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Amy Kelley located?

Amy Kelley practices at 265 Brookview Centre Way Ste 400, Knoxville, TN 37919. The listed phone number is (877) 516-7492.

What is Amy Kelley's specialty?

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

Is Amy Kelley enrolled in Medicare?

Yes. Amy Kelley 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.

Which organizations bill Medicare for Amy Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Kelley reassigns Medicare benefits to 5 organizations: Southeastern Physician Services PC (Oak Ridge, TN), Ipc Pac Healthcare Services Of Tennessee PC (Bristol, TN), Cs Pacs 3 Southeast, LLC (Bluefield, WV), Bh Services Southeast 1 PC (Brownsville, TN) and Nv Pacs 2 LLC (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amy Kelley affiliated with any hospitals?

According to CMS data, Amy Kelley is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Kelley was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.