MRS. CONNIE DENISE SMITH PETTY FNP-C
NPI 1609415850
Nurse Practitioner - Family in Hixson, TN
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Connie Petty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chattanooga, TN 37406
- Reassigned Medicare billing, Tennessee enrollment
- 533 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.
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.
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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Where is Connie Petty located?
Connie Petty practices at 8600 Hixson Pike, Hixson, TN 37343. The listed phone number is (866) 389-2727.
What is Connie Petty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Connie Petty enrolled in Medicare?
Yes. Connie Petty is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Connie Petty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Petty reassigns Medicare benefits to Chattanooga Hamilton County Hospital Authority (Chattanooga, TN). The 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 Connie Petty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Connie Petty was last updated on September 19, 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.
# Mrs. Connie Denise Smith Petty, FNP-C · NPI 1609415850
Family physician in Hixson, Tennessee. Individual provider, active in the CMS NPPES registry since January 4, 2020.
## Identity
- **NPI:** 1609415850 (Entity type: Individual)
- **Enumerated:** January 4, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN0000026622 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 8600 HIXSON PIKE, Hixson, TN 37343-1515
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Chattanooga Hamilton County Hospital Authority (NPI 1609961549, Chattanooga, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609415850) · Data from the CMS NPPES public registry.