KAREN HENSLEY FNP-C
NPI 1235660473
Nurse Practitioner - Family in Knoxville, TN

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1920 ALCOA HWY, SUITE E 140, KNOXVILLE, TN 37920(865) 305-9421(865) 305-6958 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen Hensley Fnp-c NPPES

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

KAREN HENSLEY FNP-C (NPI 1235660473) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (APN0000022066) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1235660473
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN HENSLEYCredential: FNP-C
Location Address1920 ALCOA HWY, SUITE E 140Knoxville, TN 37920-1501
Mailing Address1920 Alcoa Hwy, Suite E 140Knoxville, TN 37920-2244 · (865) 305-9421 · Fax (865) 305-6958
Fax(865) 305-6958
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 21, 2017
NPI 1235660473 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 · APN0000022066
1920 ALCOA HWY, Knoxville, TN 37920

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

Karen Hensley Fnp-c 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 ID7517235344
PECOS Enrollment IDI20170619002393
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 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.
358 services149 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
11 suppliers86 claims7,340 services$0.26 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers19 claims5,025 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers29 claims3,180 services$0.17 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers27 claims4,680 services$0.64 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
12 suppliers68 claims68 services$18.08 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
16 suppliers107 claims124 services$12.20 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 2

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

Registered Nurse
1920 ALCOA HWY
KNOXVILLE, TN 37920
Pharmacist (Pharmacotherapy)
1920 ALCOA HWY
KNOXVILLE, TN 37920

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 Karen Hensley's NPI number?

The NPI number for Karen Hensley is 1235660473. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Karen Hensley located?

Karen Hensley practices at 1920 Alcoa Hwy Suite E 140, Knoxville, TN 37920. The listed phone number is (865) 305-9421.

What is Karen Hensley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Hensley enrolled in Medicare?

Yes. Karen Hensley 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 Karen Hensley accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Karen Hensley 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 Karen Hensley affiliated with any hospitals?

According to CMS data, Karen Hensley is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Karen Hensley was last updated on March 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.