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KELSEY B DEVAULT NP
NPI 1134714090
Nurse Practitioner - Family in Johnson City, TN

Active since March 03, 2021PECOS EnrolledAccepts Medicare Assignment
121 BOONE RIDGE DR STE 1004, JOHNSON CITY, TN 37615(423) 794-5988(423) 232-8583 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Feb 14, 2025, Sep 16, 2024 and 1 more (4 updates tracked since 2021).

About Kelsey B Devault Np NPPES

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

KELSEY B DEVAULT NP (NPI 1134714090) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (29146) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Greeneville Community Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1134714090
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY B DEVAULTCredential: NP
Location Address121 BOONE RIDGE DR STE 1004Johnson City, TN 37615-4993
Mailing AddressPo Box 632476Cincinnati, OH 45263-2476 · (423) 794-5988 · Fax (423) 232-8583
Phone(423) 794-5988
Fax(423) 232-8583
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 3, 2021
Last NPPES UpdateFebruary 19, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1134714090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 29146
Also ListedNurse PractitionerTaxonomy 363L00000X · License 29146 (TN)
121 BOONE RIDGE DR STE 1004, Johnson City, TN 37615
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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

Kelsey B Devault 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 ID3779990189
PECOS Enrollment IDI20210401000200
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 11

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 straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
94 services59 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
86 services66 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 services52 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
56 services39 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
39 services32 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
24 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37615 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers13 claims13 services$17.60 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$21.10 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.

AMANDA BROOKE STEVENS FNP
Nurse Practitioner (Family)
121 BOONE RIDGE DR STE 1004
JOHNSON CITY, TN 37615
Washington County (423) 794-5988
LAUREN ELIZABETH SNAPP NP
Nurse Practitioner (Family)
121 BOONE RIDGE DR STE 1004
JOHNSON CITY, TN 37615
Washington County (423) 794-5988
MRS. LAUREN E SNAPP NP
Nurse Practitioner (Family)
121 BOONE RIDGE DR STE 1004
JOHNSON CITY, TN 37615
Washington County (423) 794-5988
ELIZABETH A SMITH NP
Nurse Practitioner
121 BOONE RIDGE DR STE 1004
JOHNSON CITY, TN 37615
Washington County (423) 794-5988

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 Kelsey Devault's NPI number?

The NPI number for Kelsey Devault is 1134714090. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Kelsey Devault located?

Kelsey Devault practices at 121 Boone Ridge Dr Ste 1004, Johnson City, TN 37615. The listed phone number is (423) 794-5988.

What is Kelsey Devault's specialty?

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

Is Kelsey Devault enrolled in Medicare?

Yes. Kelsey Devault 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.

Is Kelsey Devault affiliated with any hospitals?

According to CMS data, Kelsey Devault is affiliated with Greeneville Community Hospital and Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsey Devault was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.