KENNETH IAN PACKER
NPI 1437779592
Nurse Anesthetist, Certified Registered in Memphis, TN
About Kenneth Ian Packer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH IAN PACKER (NPI 1437779592) is an individual nurse anesthetist, certified registered in Memphis, Tennessee, licensed in Tennessee (27755) and active in the NPI registry since April 2020. He is affiliated with Carolinas Medical Center/behav Health, maintains a secondary practice location in Portland, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Kenneth Ian Packer 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kenneth Packer reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Memphis, TN 38119
- Reassigned Medicare billing, Tennessee enrollment
- 73 clinicians in this Medicare group
Germantown, TN 38138
- Reassigned Medicare billing, Tennessee enrollment
- 47 clinicians in this Medicare group
Knoxville, TN 37920
- Reassigned Medicare billing, Tennessee enrollment
- 208 clinicians in this Medicare group
Charlotte, NC 28262
- Reassigned Medicare billing, North Carolina enrollment
- 1,212 clinicians in this Medicare group
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 279 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MEMPHIS, TN 38103
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 Kenneth Packer's NPI number?
The NPI number for Kenneth Packer is 1437779592. It was assigned to this individual provider in the NPPES registry on April 19, 2020.
Where is Kenneth Packer located?
Kenneth Packer practices at 877 Jefferson Ave, Memphis, TN 38103. The listed phone number is (901) 545-7100.
What is Kenneth Packer's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kenneth Packer enrolled in Medicare?
Yes. Kenneth Packer 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 Kenneth Packer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Packer reassigns Medicare benefits to 5 organizations: Medical Anesthesia Group, PA (Memphis, TN), Midsouth Speciality Anesthesia Services LLC (Germantown, TN), University Anesthesiologists, PLLC (Knoxville, TN), Chs Anesthesia Services Group Inc (Charlotte, NC) and University Anesthesiology Associates, LLC (Portland, OR). 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 Kenneth Packer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Packer accept?
Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Kenneth Packer 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 Kenneth Packer affiliated with any hospitals?
According to CMS data, Kenneth Packer is affiliated with Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Kenneth Packer was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kenneth Ian Packer · NPI 1437779592
Nurse Anesthetist, Certified Registered physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since April 19, 2020.
## Identity
- **NPI:** 1437779592 (Entity type: Individual)
- **Enumerated:** April 19, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 27755 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 877 JEFFERSON AVE, Memphis, TN 38103-2807
- **Phone:** (901) 545-7100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Medical Anesthesia Group, PA (NPI 1679527501, Memphis, TN); Midsouth Speciality Anesthesia Services LLC (NPI 1245956440, Germantown, TN); University Anesthesiologists, PLLC (NPI 1073619466, Knoxville, TN); Chs Anesthesia Services Group Inc (NPI 1346649415, Charlotte, NC); University Anesthesiology Associates, LLC (NPI 1841217817, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1437779592) · Data from the CMS NPPES public registry.