SEQUATCHIE VALLEY PRIMARY CARE
NPI 1518171040
Contractor in Kimball, TN
About Sequatchie Valley Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEQUATCHIE VALLEY PRIMARY CARE (NPI 1518171040) is a healthcare organization registered as a contractor in Kimball, Tennessee and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through October 9, 2027 and lists Karin A Boeck, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sequatchie Valley Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Sequatchie Valley Primary Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D1018014
Sequatchie Valley Primary Care · Kimball, TNFrequently 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 Sequatchie Valley Primary Care's NPI number?
The NPI number for Sequatchie Valley Primary Care is 1518171040. It was assigned to this organization in the NPPES registry on May 10, 2007.
Where is Sequatchie Valley Primary Care located?
Sequatchie Valley Primary Care is located at 24 Mountain View Dr Suite A, Kimball, TN 37347. The listed phone number is (423) 942-9171.
What is Sequatchie Valley Primary Care's specialty?
The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.
Is Sequatchie Valley Primary Care enrolled in Medicare?
Yes. Sequatchie Valley Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sequatchie Valley Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Sequatchie Valley Primary Care. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (1) and Internal Medicine (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sequatchie Valley Primary Care hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1018014) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sequatchie Valley Primary Care accept?
Health plans from Alliant Health Plans, Inc. list Sequatchie Valley Primary Care 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 Sequatchie Valley Primary Care was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Sequatchie Valley Primary Care · NPI 1518171040
Contractor organization in Kimball, Tennessee. Organization record, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1518171040 (Entity type: Organization)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Contractor · taxonomy 171W00000X
- **Organization subpart:** No
- **Authorized official:** Karin Boeck, PRESIDENT
## Practice location
- **Address:** 24 MOUNTAIN VIEW DR, SUITE A, Kimball, TN 37347-5477
- **Phone:** (423) 942-9171 · **Fax:** (423) 942-9128
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1), Internal Medicine (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2025
- **Other identifiers:** Medicaid 1526744 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1518171040) · Data from the CMS NPPES public registry.