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KELLIE LAWRENCE HENDERSON PA
NPI 1225145865
Physician Assistant - Medical in East Ridge, TN

Active since August 23, 2006PECOS Enrolled
66.48/100
CMS Quality Rating
1508 TOMBRAS AVE, EAST RIDGE, TN 37412(423) 867-4969(423) 867-4971 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Lawrence Henderson Pa NPPES

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

KELLIE LAWRENCE HENDERSON PA (NPI 1225145865) is an individual medical provider in East Ridge, Tennessee, licensed in Tennessee (PA0000001098) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225145865
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLIE LAWRENCE HENDERSONCredential: PA
Location Address1508 TOMBRAS AVEEast Ridge, TN 37412-2720
Mailing Address1508 Tombras AveEast Ridge, TN 37412-2720 · (423) 867-4969 · Fax (423) 867-4971
Phone(423) 867-4969
Fax(423) 867-4971
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 5, 2015
✔ NPI 1225145865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TN · PA0000001098
1508 TOMBRAS AVE, East Ridge, TN 37412
Open in Google Maps ↗

Other Names 1

Former Name (1)Kellie Michele Lawrence

Other Identifiers 3

MedicaidQ007546TN
Medicare PIN33620751TN
Other4219886TN · Bcbs- Tennessee

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Lawrence Henderson Pa 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.

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.

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.
21 services19 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services15 patients

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.

66.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.4
Promoting Interoperability61
Improvement Activities40
Cost39.3

Referred Medical Equipment & Supplies CMS DME claims 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$43.99 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
2 suppliers14 claims14 services$16.23 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$48.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$91.36 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers24 claims24 services$20.61 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier18 claims18 services$9.11 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.

PATRICIA DIANE BLASICK PA
Physician Assistant (Medical)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969
MS. ANNE REBECCA NEUMANN FNP-C
Nurse Practitioner (Family)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969
MICHELE ROBERTS FNP
Nurse Practitioner (Family)
1508 TOMBRAS AVE
CHATTANOOGA, TN 37412
Hamilton County (423) 867-4974
AMIN SOHANI NP-C
Nurse Practitioner (Family)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969
MARCILE HELEN LEAF FNP-C
Nurse Practitioner (Family)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969
AMY DAWN LATHAM N.P.
Nurse Practitioner (Family)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969
SHANNA MAGLOIRE REGIS FNP-C
Nurse Practitioner (Family)
1508 TOMBRAS AVE
CHATTANOOGA, TN 37412
Hamilton County (423) 867-4969
HOLLY DAWN WALKER FNP-BC
Nurse Practitioner (Family)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969

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 Kellie Henderson's NPI number?

The NPI number for Kellie Henderson is 1225145865. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Kellie Michele Lawrence.

Where is Kellie Henderson located?

Kellie Henderson practices at 1508 Tombras Ave, East Ridge, TN 37412. The listed phone number is (423) 867-4969.

What is Kellie Henderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kellie Henderson enrolled in Medicare?

Yes. Kellie Henderson is registered in the Medicare PECOS enrollment system.

What insurance does Kellie Henderson accept?

Health plans from Alliant Health Plans, Inc. list Kellie Henderson 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 Kellie Henderson was last updated on August 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.