CONNIE M HAMILTON APN
NPI 1720137243
Nurse Practitioner - Primary Care in Knoxville, TN

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
220 FORT SANDERS WEST BLVD STE 301, KNOXVILLE, TN 37922(865) 690-3003(865) 374-2143 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Aug 21, 2024, Apr 28, 2021 and 3 more (6 updates tracked since 2016).

About Connie M Hamilton Apn NPPES

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

CONNIE M HAMILTON APN (NPI 1720137243) is an individual primary care provider in Knoxville, Tennessee, licensed in Tennessee (APN0000008350) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Oak Ridge, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1720137243
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCONNIE M HAMILTONCredential: APN
Location Address220 FORT SANDERS WEST BLVD STE 301Knoxville, TN 37922-3398
Mailing Address9330 Park West Blvd Ste 402Knoxville, TN 37923-4312 · (865) 690-3003 · Fax (865) 374-2143
Fax(865) 374-2143
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 10, 2007
Last NPPES UpdateSeptember 10, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1720137243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in TN · APN0000008350
220 FORT SANDERS WEST BLVD STE 301, Knoxville, TN 37922

Other Identifiers 1

MedicaidQ013162TN

Accepted 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

Connie M Hamilton Apn 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 ID1658310172
PECOS Enrollment IDI20050425001105
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 39

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,580 services27 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.
575 services275 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
497 services261 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
490 services263 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.
467 services274 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
438 services251 patients

Hospital Affiliations CMS Care Compare 5

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

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440110
Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37922 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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers30 claims68 services$5.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims13 services$1.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Internal Medicine
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Internal Medicine
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Nurse Practitioner (Primary Care)
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Nurse Practitioner (Family)
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Internal Medicine
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Internal Medicine
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Internal Medicine
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922

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 Hamilton's NPI number?

The NPI number for Connie Hamilton is 1720137243. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Connie Hamilton located?

Connie Hamilton practices at 220 Fort Sanders West Blvd Ste 301, Knoxville, TN 37922. The listed phone number is (865) 690-3003.

What is Connie Hamilton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Connie Hamilton enrolled in Medicare?

Yes. Connie Hamilton 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 Connie Hamilton 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 Connie Hamilton 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 Connie Hamilton affiliated with any hospitals?

According to CMS data, Connie Hamilton is affiliated with Methodist Medical Center Of Oak Ridge, Fort Loudoun Medical Center, Physicians Regional Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Connie Hamilton was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.