THERESA ADKINS NP
NPI 1538406517
Nurse Practitioner in Newport, TN

Q: What is Theresa Adkins's NPI number?

The NPI number for Theresa Adkins is 1538406517. It was assigned to this individual provider in the NPPES registry on January 10, 2013.

Q: What is Theresa Adkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Adkins was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 10, 2013PECOS EnrolledAccepts Medicare Assignment

435 2ND ST, NEWPORT, TN 37821(423) 625-4515(423) 613-1698 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Theresa Adkins Np NPPES

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

THERESA ADKINS NP (NPI 1538406517) is an individual nurse practitioner in Newport, Tennessee, licensed in Tennessee (17203) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Morristown Hamblen Hospital Association, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1538406517

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA ADKINSCredential: NP

Location Address435 2ND STNewport, TN 37821-3703

Mailing Address432 S Broad St Ste 195New Tazewell, TN 37825-7239 · (423) 736-1777

Phone(423) 625-4515

Fax(423) 613-1698

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 10, 2013

Last NPPES UpdateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1538406517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 17203

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

435 2ND ST, Newport, TN 37821

Open in Google Maps ↗

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

Theresa Adkins Np 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 ID2264677194

PECOS Enrollment IDI20130326000268

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 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

197 services182 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440030

Location908 W 4th North StMorristown, TN 37814 · Hamblen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37821 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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%155 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$14.98 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$69.77 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.

MRS. KAITLIN PHILLIPS LAT, ATC

Neuromusculoskeletal Medicine, Sports Medicine

435 2ND ST
NEWPORT, TN 37821

Cocke County (865) 607-4910

RESOURCE ANESTHESIA EAST TENNESSEE INC

Nurse Anesthetist, Certified Registered

435 2ND ST
NEWPORT, TN 37821

Cocke County (423) 625-2200

MS. SARAH A HONAKER FNP

Nurse Practitioner (Family)

435 2ND ST
NEWPORT, TN 37821

Cocke County (629) 206-3254

COCKE COUNTY HMA LLC

Nurse Anesthetist, Certified Registered

435 2ND ST
NEWPORT, TN 37821

Cocke County (423) 625-2200

BOJIDAR DOLAPTCHIEV M.D.

Family Medicine (Adult Medicine)

435 2ND ST, B
NEWPORT, TN 37821

Cocke County (423) 625-4515

DAVID SIMPSON PA-C

Physician Assistant

435 2ND ST
NEWPORT, TN 37821

Cocke County (423) 625-2200

MICHAEL FRANK CRNA

Nurse Anesthetist, Certified Registered

435 2ND ST
NEWPORT, TN 37821

Cocke County (423) 625-2200

COCKE PHYSICIAN SERVICES, PC

Hospitalist

435 2ND ST
NEWPORT, TN 37821

Cocke County (423) 625-2200

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 Theresa Adkins's NPI number?

The NPI number for Theresa Adkins is 1538406517. It was assigned to this individual provider in the NPPES registry on January 10, 2013.

Where is Theresa Adkins located?

Theresa Adkins practices at 435 2nd St, Newport, TN 37821. The listed phone number is (423) 625-4515.

What is Theresa Adkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Theresa Adkins enrolled in Medicare?

Yes. Theresa Adkins 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.

Is Theresa Adkins affiliated with any hospitals?

According to CMS data, Theresa Adkins is affiliated with Morristown Hamblen Hospital Association.

When was this NPI record last updated?

The NPPES record for Theresa Adkins was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.