KIMBERLY F SHELTON NP
NPI 1164735221
Nurse Practitioner - Family in Knoxville, TN

Active since July 19, 2010PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
1400 DOWELL SPRINGS BLVD STE 100, KNOXVILLE, TN 37909(865) 437-3977(865) 437-3912 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 8, 2022, Sep 2, 2020, Jul 8, 2019 and 1 more (4 updates tracked since 2016).

About Kimberly F Shelton Np NPPES

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

KIMBERLY F SHELTON NP (NPI 1164735221) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (15101) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164735221
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY F SHELTONCredential: NP
Location Address1400 DOWELL SPRINGS BLVD STE 100Knoxville, TN 37909-2457
Mailing Address1400 Dowell Springs Blvd Ste 100Knoxville, TN 37909-2457 · (865) 437-3977 · Fax (865) 439-3912
Fax(865) 437-3912
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 19, 2010
Last NPPES UpdateAugust 8, 20224 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
NPI 1164735221 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 · 15101
1400 DOWELL SPRINGS BLVD STE 100, Knoxville, TN 37909

Other Identifiers 1

Medicaid1520351TN

Accepted 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

Kimberly F Shelton 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 ID1052504644
PECOS Enrollment IDI20101014001068
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
150 services108 patients
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.
91 services58 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
84 services84 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.52
Promoting Interoperability96
Improvement Activities40
Cost36.99

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims71 services$5.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims36 services$0.98 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers18 claims547 services$2.85 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,837 services$0.58 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$55.79 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers26 claims30 services$17.25 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.

Family Medicine (Geriatric Medicine)
1400 DOWELL SPRINGS BLVD STE 100
KNOXVILLE, TN 37909
Nurse Practitioner (Family)
1400 DOWELL SPRINGS BLVD STE 100
KNOXVILLE, TN 37909
Durable Medical Equipment & Medical Supplies
1400 DOWELL SPRINGS BLVD STE 100
KNOXVILLE, TN 37909
Nurse Practitioner (Family)
1400 DOWELL SPRINGS BLVD STE 100
KNOXVILLE, TN 37909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164735221, enumerated as an "individual" on July 19, 2010.

The provider is located at 1400 DOWELL SPRINGS BLVD STE 100 KNOXVILLE, TN 37909 and the phone number is (865) 437-3977.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arkansas. Please consult your insurance carrier or call the provider to verify.