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KARLI QUALLS PA-C
NPI 1679904494
Physician Assistant in Cookeville, TN

Active since December 04, 2013PECOS EnrolledAccepts Medicare Assignment
228 W 4TH ST, SUITE 200, COOKEVILLE, TN 38501(931) 372-0405(931) 372-0463 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karli Qualls Pa-c NPPES

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

KARLI QUALLS PA-C (NPI 1679904494) is an individual physician assistant in Cookeville, Tennessee, licensed in Tennessee (2443) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Cookeville Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1679904494
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKARLI QUALLSCredential: PA-C
Location Address228 W 4TH ST, SUITE 200Cookeville, TN 38501-2488
Mailing Address228 W 4th St, Suite 200Cookeville, TN 38501-2488 · (931) 372-0405 · Fax (931) 372-0463
Phone(931) 372-0405
Fax(931) 372-0463
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 4, 2013
Last NPPES UpdateJune 17, 2022
NPPES CertifiedJune 17, 2022
✔ NPI 1679904494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 2443
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
228 W 4TH ST, Cookeville, TN 38501
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Other Identifiers 1

Other6093446TN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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

Karli Qualls Pa-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 ID3375802929
PECOS Enrollment IDI20180105001299
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.

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.
375 services307 patients
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.
298 services238 patients

Hospital Affiliations CMS Care Compare 2

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

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Livingston Regional Hospital

Acute Care Hospitals · Livingston, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440187
Location315 Oak St Box 550Livingston, TN 38570 · Overton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 10

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

ANGELI B SWALLOWS AGPCNP-BC
Nurse Practitioner (Adult Health)
228 W 4TH ST, SUITE 301
COOKEVILLE, TN 38501
Putnam County (931) 783-4269
DR. BRIAN KEITH DOCKERY M.D.
Internal Medicine (Interventional Cardiology)
228 W 4TH ST, SUITE 200
COOKEVILLE, TN 38501
Putnam County (931) 372-0405
MARK WATHEN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
228 W 4TH ST, SUITE 200
COOKEVILLE, TN 38501
Putnam County (931) 372-0405
MR. STEVEN BICKEL PA-C
Physician Assistant (Surgical)
228 W 4TH ST, SUITE 301
COOKEVILLE, TN 38501
Putnam County (931) 372-0401
NOEL DAVID TORRES ACOSTA M.D.
Internal Medicine (Cardiovascular Disease)
228 W 4TH ST
COOKEVILLE, TN 38501
Putnam County (931) 372-0405
CALEB HUNTER SAVAGE NP
Nurse Practitioner
228 W 4TH ST
COOKEVILLE, TN 38501
Putnam County (931) 372-0405
TENNESSEE HEART PLLC
Specialist
228 W 4TH ST, SUITE 200
COOKEVILLE, TN 38501
Putnam County (931) 372-0405
TAYLOR MICHELLE BRYANT RN
Registered Nurse
228 W 4TH ST
COOKEVILLE, TN 38501
Putnam County (931) 372-0405

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 Karli Qualls's NPI number?

The NPI number for Karli Qualls is 1679904494. It was assigned to this individual provider in the NPPES registry on December 4, 2013.

Where is Karli Qualls located?

Karli Qualls practices at 228 W 4th St Suite 200, Cookeville, TN 38501. The listed phone number is (931) 372-0405.

What is Karli Qualls's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karli Qualls enrolled in Medicare?

Yes. Karli Qualls 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.

What insurance does Karli Qualls accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Karli Qualls 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 Karli Qualls affiliated with any hospitals?

According to CMS data, Karli Qualls is affiliated with Cookeville Regional Medical Center and Livingston Regional Hospital.

When was this NPI record last updated?

The NPPES record for Karli Qualls was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.