KELLY B GOWDY CNP
NPI 1376981464
Nurse Practitioner - Family in Germantown, TN

Q: What is Kelly Gowdy's NPI number?

The NPI number for Kelly Gowdy is 1376981464. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Q: What is Kelly Gowdy'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 Kelly Gowdy was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment

8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138(901) 271-1000(901) 271-4187 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kelly B Gowdy Cnp NPPES

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

KELLY B GOWDY CNP (NPI 1376981464) is an individual family provider in Germantown, Tennessee, licensed in Mississippi (R892458) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1376981464

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY B GOWDYCredential: CNP

Location Address8060 WOLF RIVER BLVDGermantown, TN 38138-1727

Mailing Address8060 Wolf River BlvdGermantown, TN 38138-1727 · (901) 271-1000 · Fax (901) 271-4187

Phone(901) 271-1000

Fax(901) 271-4187

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 11, 2013

Last NPPES UpdateDecember 30, 2013

✔ NPI 1376981464 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 MS · R892458

8060 WOLF RIVER BLVD, Germantown, TN 38138

Open in Google Maps ↗

Other Identifiers 1

OtherR892458MS · Ms Cnp License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee, Molina Healthcare 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

Kelly B Gowdy Cnp 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 ID9436399094

PECOS Enrollment IDI20130703000169, I20150508001758

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS

1/5 CMS rating

OwnershipProprietary

CMS Certification Number250141

Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County

Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440048

Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38138 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier18 claims19 services$18.28 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

1 supplier18 claims19 services$35.57 avg. paid by Medicare

Injection, milrinone lactate, 5 mg J2260

Treatment-Injections and Infusions (nononcologic) · category RI026N

1 supplier18 claims1,572 services$1.37 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 20

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

HOMAYOUN REZA AHMADIAN D.O.

Internal Medicine (Cardiovascular Disease)

8060 WOLF RIVER BLVD
GERMANTOWN, TN 38138

Shelby County (901) 271-1000

LARRY B SPIOTTA MD

Internal Medicine (Interventional Cardiology)

8060 WOLF RIVER BLVD
MEMPHIS, TN 38138

Shelby County (901) 271-1000

MR. RANDALL WILLIAMS

Physician Assistant

8060 WOLF RIVER BLVD
GERMANTOWN, TN 38138

Shelby County (901) 271-1000

CLARE WILKS VAWTER TUBRE

Nurse Practitioner (Family)

8060 WOLF RIVER BLVD
GERMANTOWN, TN 38138

Shelby County (901) 271-1000

WILLIAM L RUSSO

Internal Medicine (Cardiovascular Disease)

8060 WOLF RIVER BLVD
MEMPHIS, TN 38138

Shelby County (901) 271-1000

MORGAN GREEN FNP

Nurse Practitioner (Family)

8060 WOLF RIVER BLVD
GERMANTOWN, TN 38138

Shelby County (901) 271-1000

JEFFREY BUNKER STOUT MD

Internal Medicine (Interventional Cardiology)

8060 WOLF RIVER BLVD
GERMANTOWN, TN 38138

Shelby County (901) 271-1000

DR. BASIL MANTAS PAULUS M.D.

Internal Medicine (Interventional Cardiology)

8060 WOLF RIVER BLVD
GERMANTOWN, TN 38138

Shelby County (901) 271-1000

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 Gowdy's NPI number?

The NPI number for Kelly Gowdy is 1376981464. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Kelly Gowdy located?

Kelly Gowdy practices at 8060 Wolf River Blvd, Germantown, TN 38138. The listed phone number is (901) 271-1000.

What is Kelly Gowdy's specialty?

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

Is Kelly Gowdy enrolled in Medicare?

Yes. Kelly Gowdy 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 Kelly Gowdy accept?

Health plans from Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee, Molina Healthcare, Oscar Health Plan, Inc. and Oscar Insurance Company list Kelly Gowdy 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 Kelly Gowdy affiliated with any hospitals?

According to CMS data, Kelly Gowdy is affiliated with Baptist Memorial Hospital Desoto and Baptist Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Gowdy was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.