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KELLY TAYLOR TREADWAY FNP
NPI 1316773419
Nurse Practitioner - Family in Mcminnville, TN

Active since September 13, 2024PECOS EnrolledAccepts Medicare Assignment
549 COLLINWOOD DR, MCMINNVILLE, TN 37110(931) 619-3336 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Taylor Treadway Fnp NPPES

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

KELLY TAYLOR TREADWAY FNP (NPI 1316773419) is an individual family provider in Mcminnville, Tennessee, licensed in Tennessee (37314) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316773419
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY TAYLOR TREADWAYCredential: FNP
Location Address549 COLLINWOOD DRMcminnville, TN 37110-4871
Mailing Address549 Collinwood DrMcminnville, TN 37110-4871 · (931) 619-3336
Phone(931) 619-3336
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 13, 2024
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1316773419 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 · 37314
549 COLLINWOOD DR, Mcminnville, TN 37110
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Taylor Mccormick

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Kelly Taylor Treadway Fnp 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 ID5395270144
PECOS Enrollment IDI20241203001529
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kelly Treadway reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bh Services Southeast 1 PC
197 mi
Nurse Practitioner
2565 N WASHINGTON AVE
Brownsville, TN 38012
  • Reassigned Medicare billing, Tennessee enrollment
  • 129 clinicians in this Medicare group
NPI 1164251526 (731) 772-4199
Ipc Pac Healthcare Services Of Tennessee PC
204 mi
Internal Medicine
1 MEDICAL PARK BLVD
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 230 clinicians in this Medicare group
NPI 1104277656 (423) 844-1121
Cs Pacs 3 Southeast, LLC
273 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Tennessee enrollment
  • 227 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
Nv Pacs 2 LLC
1,653 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Tennessee enrollment
  • 253 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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 5

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.
159 services67 patients
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.
97 services40 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
31 services22 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
19 services15 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37110 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.

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 Kelly Treadway's NPI number?

The NPI number for Kelly Treadway is 1316773419. It was assigned to this individual provider in the NPPES registry on September 13, 2024. The provider is also known as Kelly Taylor Mccormick.

Where is Kelly Treadway located?

Kelly Treadway practices at 549 Collinwood Dr, Mcminnville, TN 37110. The listed phone number is (931) 619-3336.

What is Kelly Treadway's specialty?

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

Is Kelly Treadway enrolled in Medicare?

Yes. Kelly Treadway 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 organizations bill Medicare for Kelly Treadway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Treadway reassigns Medicare benefits to 4 organizations: Bh Services Southeast 1 PC (Brownsville, TN), Ipc Pac Healthcare Services Of Tennessee PC (Bristol, TN), Cs Pacs 3 Southeast, LLC (Bluefield, WV) and Nv Pacs 2 LLC (Las Vegas, NV). Each 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 Kelly Treadway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Treadway accept?

Health plans from Oscar Insurance Company list Kelly Treadway 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 Kelly Treadway was last updated on October 15, 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.