KARISSA PETERSON
NPI 1104696384
Physical Therapist in Maynardville, TN
About Karissa Peterson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARISSA PETERSON (NPI 1104696384) is an individual physical therapist in Maynardville, Tennessee, licensed in Tennessee (15542) and active in the NPI registry since January 2024. She maintains a secondary practice location in Minneapolis and is a graduate of University Of North Dakota School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses 2
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Accepted Insurance
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
Karissa Peterson 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.
Medicare Billing Reassignments
3Medicare enrollment records show Karissa Peterson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Knoxville, TN 37934
- Reassigned Medicare billing, Tennessee enrollment
- 641 clinicians in this Medicare group
Franklin, TN 37067
- Reassigned Medicare billing, Tennessee enrollment
- 713 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 111 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.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAYNARDVILLE, TN 37807
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 Karissa Peterson's NPI number?
The NPI number for Karissa Peterson is 1104696384. It was assigned to this individual provider in the NPPES registry on January 8, 2024.
Where is Karissa Peterson located?
Karissa Peterson practices at 4356 Maynardville Hwy Ste 3, Maynardville, TN 37807. The listed phone number is (865) 630-9030.
What is Karissa Peterson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Karissa Peterson enrolled in Medicare?
Yes. Karissa Peterson 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 Karissa Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karissa Peterson reassigns Medicare benefits to 3 organizations: Agilitas Usa, Inc (Knoxville, TN), Results-Ast Jv, LLC (Franklin, TN) and Premier Obgyn Of Minnesota PLLC (Edina, MN). 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 Karissa Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karissa Peterson accept?
Health plans from BlueCross BlueShield of Tennessee list Karissa Peterson 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.
When was this NPI record last updated?
The NPPES record for Karissa Peterson was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.