MRS. CONNIE DENISE SMITH PETTY FNP-C - NPI 1609415850

Q: What is Connie Petty's NPI number?

The NPI number for Connie Petty is 1609415850. It was assigned to this individual provider in the NPPES registry on January 4, 2020.

Q: What is Connie Petty'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 Connie Petty was last updated on September 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Connie Denise Smith Petty Fnp-c NPPES

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

MRS. CONNIE DENISE SMITH PETTY FNP-C (NPI 1609415850) is an individual family provider in Hixson, Tennessee, licensed in Tennessee (APN0000026622) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609415850

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CONNIE DENISE SMITH PETTYCredential: FNP-C

Location Address8600 HIXSON PIKEHixson, TN 37343-1515

Mailing Address8600 Hixson PikeHixson, TN 37343-1515 · (866) 389-2727

Phone(866) 389-2727

Sole ProprietorNo

Enumeration DateJanuary 4, 2020

Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2023

✔ NPI 1609415850 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 · APN0000026622

8600 HIXSON PIKE, Hixson, TN 37343

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Connie Denise Smith Petty Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37343 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.

87.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.67

Promoting Interoperability

Improvement Activities

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.

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