KAREN D TINSLEY NP
NPI 1609199132
Nurse Practitioner - Family in Chattanooga, TN

Q: What is Karen Tinsley's NPI number?

The NPI number for Karen Tinsley is 1609199132. It was assigned to this individual provider in the NPPES registry on March 11, 2010.

Q: What is Karen Tinsley'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 Karen Tinsley was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 11, 2010PECOS EnrolledAccepts Medicare Assignment

929 SPRING CREEK RD STE 102, CHATTANOOGA, TN 37412(423) 629-9743(423) 629-9744 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2023, Dec 6, 2023, Apr 13, 2023 and 3 more (6 updates tracked since 2017).

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About Karen D Tinsley Np NPPES

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

KAREN D TINSLEY NP (NPI 1609199132) is an individual family provider in Chattanooga, Tennessee, licensed in Tennessee (14564) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1609199132

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKAREN D TINSLEYCredential: NP

Location Address929 SPRING CREEK RD STE 102Chattanooga, TN 37412-3974

Mailing Address4976 Alpha LnHixson, TN 37343-5470 · (423) 497-5355 · Fax (423) 308-0281

Phone(423) 629-9743

Fax(423) 629-9744

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 11, 2010

Last NPPES UpdateDecember 12, 20236 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1609199132 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 TN · 14564

929 SPRING CREEK RD STE 102, Chattanooga, TN 37412

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Secondary Practice Location 1

Location 12341 McCallie Ave Ste 302Chattanooga, TN 37404-3237 · Phone (423) 629-9743 · Fax (423) 629-9744

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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

Karen D Tinsley 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 ID7719018852

PECOS Enrollment IDI20100706000404

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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Tinsley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Galen Medical Group, PC

9.2 mi

Internal Medicine

4976 ALPHA LN
Hixson, TN 37343

Reassigned Medicare billing, Tennessee enrollment
158 clinicians in this Medicare group

NPI 1346250057 (423) 497-5355

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 6

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.

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.

44 services29 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.

27 services21 patients

Measurement of total estradiol (hormone) 82670

Total estradiol measurement is a simple blood test that examines the level of a key hormone in your body. This hormone plays a vital role in many body functions. The test helps understand if hormone levels are balanced, which can impact overall health.

24 services17 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

23 services23 patients

Testosterone (hormone) level, total 84403

A total testosterone level test measures the amount of a key hormone in your body. This hormone influences various body functions such as muscle mass, energy levels, and mood. The test involves a simple blood draw, and results help monitor health conditions.

18 services13 patients

Progesterone (reproductive hormone) level 84144

A progesterone level test measures the amount of progesterone, a hormone, in your body. It plays a key role in preparing the body for pregnancy and maintaining it. The test can help assess overall hormonal health and aid in diagnosing certain conditions.

17 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440104

Location975 E 3rd StChattanooga, TN 37403 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37412 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 7

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

LAUREN THOMAS MD

Obstetrics & Gynecology