ALICIA DEIRTH
NPI 1225670128
Nurse Practitioner - Family in Kingsport, TN

Active since October 11, 2019PECOS EnrolledAccepts Medicare Assignment
2202 N JOHN B DENNIS HWY STE 100, KINGSPORT, TN 37660(423) 578-8500 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, Oct 11, 2019 (2 updates tracked since 2019).

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

NPI1225670128
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALICIA DEIRTH
Location Address2202 N JOHN B DENNIS HWY STE 100Kingsport, TN 37660-5904
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2018
Enumeration DateOctober 11, 2019
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1225670128 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 · APN0000025715
2202 N JOHN B DENNIS HWY STE 100, Kingsport, TN 37660

Secondary Practice Location 1

Location 1115 Judge Gresham Rd Ste AGray, TN 37615-6213 · Phone (423) 467-3000

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

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.

PECOS PAC ID8820423460
PECOS Enrollment IDI20200108002948
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

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.
303 services151 patients

Hospital Affiliations CMS Care Compare 2

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, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Physician 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.

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.

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.

Internal Medicine (Hematology & Oncology)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Physician Assistant
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Internal Medicine (Hematology & Oncology)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Physician Assistant
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Internal Medicine (Hematology & Oncology)
2202 N JOHN B DENNIS HWY STE 100
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.

What insurance does Alicia Deirth accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare 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 and Indian Path Community 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 23 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.