ALICIA DEIRTH
NPI 1225670128
Nurse Practitioner - Family in Kingsport, TN
About Alicia Deirth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA DEIRTH (NPI 1225670128) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (APN0000025715) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Gray.
NPPES Registry Identity
Specialties & Licenses
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
Alicia Deirth 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 Reassignment
Medicare enrollment records show Alicia Deirth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee enrollment
- 81 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
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellmont Holston Valley Medical Center
Acute Care Hospitals · Kingsport, TNIndian Path Community Hospital
Acute Care Hospitals · Kingsport, TNLonesome Pine Hospital
Acute Care Hospitals · Big Stone Gap, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37660 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGSPORT, TN 37660
KINGSPORT, TN 37660
KINGSPORT, TN 37660
KINGSPORT, TN 37660
KINGSPORT, TN 37660
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 Alicia Deirth's NPI number?
The NPI number for Alicia Deirth is 1225670128. It was assigned to this individual provider in the NPPES registry on October 11, 2019.
Where is Alicia Deirth located?
Alicia Deirth practices at 2202 N John B Dennis Hwy Ste 100, Kingsport, TN 37660. The listed phone number is (423) 578-8500.
What is Alicia Deirth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alicia Deirth enrolled in Medicare?
Yes. Alicia Deirth 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 organization bills Medicare for Alicia Deirth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Deirth reassigns Medicare benefits to Wps Providers Inc (Kingsport, 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 Alicia Deirth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alicia Deirth accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Alicia Deirth 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.
Is Alicia Deirth affiliated with any hospitals?
According to CMS data, Alicia Deirth is affiliated with Wellmont Holston Valley Medical Center, Indian Path Community Hospital and Lonesome Pine Hospital.
When was this NPI record last updated?
The NPPES record for Alicia Deirth was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Alicia Deirth · NPI 1225670128
Family physician in Kingsport, Tennessee. Individual provider, active in the CMS NPPES registry since October 11, 2019.
## Identity
- **NPI:** 1225670128 (Entity type: Individual)
- **Enumerated:** October 11, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN0000025715 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2202 N JOHN B DENNIS HWY STE 100, Kingsport, TN 37660-5904
- **Phone:** (423) 578-8500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wps Providers Inc (NPI 1003904095, Kingsport, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** East Tennessee State University Quillen College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225670128) · Data from the CMS NPPES public registry.