KHRISTEN NOEL QUALLS APN
NPI 1316712946
Nurse Practitioner - Family in Chattanooga, TN

Q: What is Khristen Qualls's NPI number?

The NPI number for Khristen Qualls is 1316712946. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Q: What is Khristen Qualls's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Khristen Qualls was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 27, 2023PECOS EnrolledAccepts Medicare Assignment

2525 DESALES AVE STE F1009, CHATTANOOGA, TN 37404(423) 624-5200(423) 697-2320 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Khristen Noel Qualls Apn NPPES

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

KHRISTEN NOEL QUALLS APN (NPI 1316712946) is an individual family provider in Chattanooga, Tennessee, licensed in Tennessee (34750) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chattanooga, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1316712946

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKHRISTEN NOEL QUALLSCredential: APN

Location Address2525 DESALES AVE STE F1009Chattanooga, TN 37404-1161

Mailing Address2525 Desales Ave Ste F1009Chattanooga, TN 37404-1161 · (423) 624-5200 · Fax (423) 697-2320

Phone(423) 624-5200

Fax(423) 697-2320

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 27, 2023

Last NPPES UpdateDecember 12, 2024

NPPES CertifiedDecember 12, 2024

✔ NPI 1316712946 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 · 34750

2525 DESALES AVE STE F1009, Chattanooga, TN 37404

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Secondary Practice Location 1

Location 12418 Ashmore AveChattanooga, TN 37415-6398 · Phone (615) 806-4063

Accepted Insurance

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

Khristen Noel Qualls Apn 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 ID4880134469

PECOS Enrollment IDI20240910002281

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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 9

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

BRETT ALEX MELNIKOFF MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)