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KELLY FUGATE FNP-C
NPI 1629442694
Nurse Practitioner - Family in Kingsport, TN

Active since November 13, 2015PECOS EnrolledAccepts Medicare Assignment
2000 BROOKSIDE DR FL 7, KINGSPORT, TN 37660(423) 857-7011(423) 857-7018 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2026, Dec 29, 2025, Dec 5, 2025 and 3 more (6 updates tracked since 2015).

About Kelly Fugate Fnp-c NPPES

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

KELLY FUGATE FNP-C (NPI 1629442694) is an individual family provider in Kingsport, Tennessee, licensed in Virginia (0024173176) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629442694
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY FUGATECredential: FNP-C
Location Address2000 BROOKSIDE DR FL 7Kingsport, TN 37660-4627
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111
Phone(423) 857-7011
Fax(423) 857-7018
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2015
Enumeration DateNovember 13, 2015
Last NPPES UpdateJanuary 5, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1629442694 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
Licenses✔ Licensed in VA · 0024173176✔ Licensed in TN · 20561
2000 BROOKSIDE DR FL 7, Kingsport, TN 37660
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1351 Court StAbingdon, VA 24210-2921 · Phone (276) 676-3360 · Fax (276) 676-2170
Location 21980 Holton Ave E Ste 204Big Stone Gap, VA 24219-3367 · Phone (276) 523-8828 · Fax (276) 523-8829

Other Identifiers 1

Medicaid1629442694VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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

Kelly Fugate Fnp-c 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 ID5991009193
PECOS Enrollment IDI20160209001517, I20210201002390
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 Kelly Fugate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellmont Medical Associates, Inc.
2.1 mi
Internal Medicine
111 W STONE DR, SUITE 110
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • Also billed through NPI 1295193183 (Virginia)
  • 861 clinicians in this Medicare group
NPI 1598124398 (423) 224-3701

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
404 services251 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
17 services17 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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.

Referred Medical Equipment & Supplies CMS DME claims 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
24 suppliers257 claims257 services$36.95 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
23 suppliers232 claims232 services$95.61 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
22 suppliers222 claims598 services$36.56 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers116 claims626 services$20.87 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers40 claims220 services$15.30 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
18 suppliers165 claims165 services$60.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kelly Fugate's NPI number?

The NPI number for Kelly Fugate is 1629442694. It was assigned to this individual provider in the NPPES registry on November 13, 2015.

Where is Kelly Fugate located?

Kelly Fugate practices at 2000 Brookside Dr Fl 7, Kingsport, TN 37660. The listed phone number is (423) 857-7011.

What is Kelly Fugate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Fugate enrolled in Medicare?

Yes. Kelly Fugate 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.

Which organization bills Medicare for Kelly Fugate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Fugate reassigns Medicare benefits to Wellmont Medical Associates, Inc. (Kingsport, 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 Kelly Fugate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Fugate accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Kelly Fugate 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.

Is Kelly Fugate affiliated with any hospitals?

According to CMS data, Kelly Fugate is affiliated with Wellmont Holston Valley Medical Center and Indian Path Community Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Fugate was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.