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KRISTIN SISEMORE APRN
NPI 1215652649
Nurse Practitioner - Gerontology in Franklin, TN

Active since October 07, 2022PECOS Enrolled
97.12/100
CMS Quality Rating
2001 MALLORY LN STE 100, FRANKLIN, TN 37067(615) 764-4450 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2025, Nov 16, 2022, Nov 9, 2022 and 2 more (5 updates tracked since 2022).

About Kristin Sisemore Aprn NPPES

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

KRISTIN SISEMORE APRN (NPI 1215652649) is an individual gerontology provider in Franklin, Tennessee, licensed in Tennessee (32543) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1215652649
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKRISTIN SISEMORECredential: APRN
Location Address2001 MALLORY LN STE 100Franklin, TN 37067-8234
Mailing Address3841 Green Hills Village DrNashville, TN 37215-2691
Phone(615) 764-4450
Sole ProprietorNo
Enumeration DateOctober 7, 2022
Last NPPES UpdateFebruary 3, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1215652649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TN · 32543
Also ListedInternal MedicineTaxonomy 207R00000X · License 32543 (TN)
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 32543 (TN)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 32543 (TN)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 32543 (TN)
2001 MALLORY LN STE 100, Franklin, TN 37067
Open in Google Maps ↗

Secondary Practice Location 1

Location 13601 The Vanderbilt ClinicNashville, TN 37232-8234 · Phone (615) 936-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Sisemore Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kristin Sisemore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Thomas Medical Partners
2.2 mi
Gynecology
4601 CAROTHERS PARKWAY, STE. 350
Franklin, TN 37067
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,304 clinicians in this Medicare group
NPI 1164679411 (615) 284-4664

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 4

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.
343 services160 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.
43 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. SUJANA KARRA REDDY MD
Internal Medicine (Rheumatology)
2001 MALLORY LN STE 100
FRANKLIN, TN 37067
Williamson County (615) 385-7646

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 Kristin Sisemore's NPI number?

The NPI number for Kristin Sisemore is 1215652649. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Where is Kristin Sisemore located?

Kristin Sisemore practices at 2001 Mallory Ln Ste 100, Franklin, TN 37067. The listed phone number is (615) 764-4450.

What is Kristin Sisemore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kristin Sisemore enrolled in Medicare?

Yes. Kristin Sisemore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristin Sisemore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Sisemore reassigns Medicare benefits to Saint Thomas Medical Partners (Franklin, TN). The 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 Kristin Sisemore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Sisemore accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Kristin Sisemore 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 Kristin Sisemore was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.