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KATHERINE HELEN FOX FNP-C
NPI 1427462043
Family Medicine - Obesity Medicine in Shelbyville, TN

Active since June 12, 2014PECOS EnrolledAccepts Medicare Assignment
1121 1/2 N MAIN ST, SHELBYVILLE, TN 37160(931) 735-6003(931) 735-6152 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Katherine Helen Fox Fnp-c NPPES

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

KATHERINE HELEN FOX FNP-C (NPI 1427462043) is an individual obesity medicine provider in Shelbyville, Tennessee, licensed in Tennessee (APN21122) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt Bedford Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2014).

NPPES Registry Identity

NPI1427462043
Entity TypeIndividualFemale
Primary Taxonomy207QB0002X
Provider Legal NameKATHERINE HELEN FOXCredential: FNP-C
Location Address1121 1/2 N MAIN STShelbyville, TN 37160
Mailing Address1121 1/2 N Main StShelbyville, TN 37160-2309 · (931) 735-6003 · Fax (937) 237-4748
Phone(931) 735-6003
Fax(931) 735-6152
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2014
Enumeration DateJune 12, 2014
Last NPPES UpdateDecember 4, 2019
✔ NPI 1427462043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QB0002X
License✔ Licensed in TN · APN21122
Definition
A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
1121 1/2 N MAIN ST, Shelbyville, TN 37160
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Other Identifiers 2

MedicaidQ052457TN
Other6198511TN · Bluecross Blueshield Of Tennessee

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

Katherine Helen Fox 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 ID5496975567
PECOS Enrollment IDI20180426002604
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 8

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
85 services15 patients
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.
53 services32 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
50 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
33 services20 patients
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.
32 services17 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
32 services12 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt Bedford Hospital

Acute Care Hospitals · Shelbyville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440137
Location2835 Hwy 231 NorthShelbyville, TN 37160 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37160 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 2

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

DR. KERRY KIESINER D.C.
Chiropractor
1121 1/2 N MAIN ST
SHELBYVILLE, TN 37160
Bedford County (931) 735-6160
MAIN STREET MINOR MEDICAL LLC
Family Medicine (Obesity Medicine)
1121 1/2 N MAIN ST
SHELBYVILLE, TN 37160
Bedford County (931) 735-6003

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 Katherine Fox's NPI number?

The NPI number for Katherine Fox is 1427462043. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Katherine Fox located?

Katherine Fox practices at 1121 1/2 N Main St, Shelbyville, TN 37160. The listed phone number is (931) 735-6003.

What is Katherine Fox's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Is Katherine Fox enrolled in Medicare?

Yes. Katherine Fox 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 Katherine Fox accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Katherine Fox 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 Katherine Fox affiliated with any hospitals?

According to CMS data, Katherine Fox is affiliated with Vanderbilt Bedford Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Fox was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.