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JUSTIN LANCE KIRBY
NPI 1104364496
Nurse Practitioner in Chattanooga, TN

Active since February 07, 2017PECOS EnrolledAccepts Medicare Assignment
975 E 3RD ST, HOSPITALIST, CHATTANOOGA, TN 37403(423) 778-5179 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2021, Feb 7, 2017 (2 updates tracked since 2017).

About Justin Lance Kirby NPPES

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

JUSTIN LANCE KIRBY (NPI 1104364496) is an individual nurse practitioner in Chattanooga, Tennessee, licensed in Tennessee (22286) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Parkridge Medical Center, and maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1104364496
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJUSTIN LANCE KIRBY
Location Address975 E 3RD ST, HOSPITALISTChattanooga, TN 37403-2147
Mailing Address2205 Mccallie Ave Ste 310Chattanooga, TN 37404-3334 · (423) 698-2435
Phone(423) 778-5179
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 7, 2017
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1104364496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 22286
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
975 E 3RD ST, Chattanooga, TN 37403
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Secondary Practice Location 1

Location 12205 McCallie Ave Ste 310Chattanooga, TN 37404-3334 · Phone (423) 698-2435

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.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

Justin Lance Kirby 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 ID9638424633
PECOS Enrollment IDI20180614002909
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

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 37403 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 9

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers15 claims15 services$74.57 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers15 claims28 services$27.39 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers14 claims14 services$13.85 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers20 claims104 services$2.01 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier11 claims11 services$903.85 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier23 claims25 services$6.44 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 20

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

MEGAN A SPEARS CRNA
Nurse Anesthetist, Certified Registered
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400
TENNESSEE CANCER SPECIALISTS, PLLC
Internal Medicine (Hematology & Oncology)
975 E 3RD ST, ERLINGER MEDICAL CENTER
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7977
DAVID SHVED D.O.
Hospitalist
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-5179
JASON DEDEKER MD
Psychiatry & Neurology (Psychiatry)
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7000
WILLIAM MICHAEL BRITT JR.
Internal Medicine
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-3894
MR. EDWARD BRIAN HALLOCK CRNA
Nurse Anesthetist, Certified Registered
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400
MRS. DEBORAH K WESTBROOK L.C.S.W.
Social Worker (Clinical)
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7654
BRETT ESCARZA M.D.
Anesthesiology
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400

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 Justin Kirby's NPI number?

The NPI number for Justin Kirby is 1104364496. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Where is Justin Kirby located?

Justin Kirby practices at 975 E 3rd St Hospitalist, Chattanooga, TN 37403. The listed phone number is (423) 778-5179.

What is Justin Kirby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Justin Kirby enrolled in Medicare?

Yes. Justin Kirby 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 Justin Kirby accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Justin Kirby 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 Justin Kirby affiliated with any hospitals?

According to CMS data, Justin Kirby is affiliated with Parkridge Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Kirby was last updated on December 22, 2021. 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.