TERRI DUNCAN FNP
NPI 1750501326
Nurse Practitioner - Family in Kingsport, TN

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
105 W STONE DR, STE 1F, KINGSPORT, TN 37660(423) 230-2420(423) 230-2421 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terri Duncan Fnp NPPES

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

TERRI DUNCAN FNP (NPI 1750501326) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (11970) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1750501326
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERRI DUNCANCredential: FNP
Location Address105 W STONE DR, STE 1FKingsport, TN 37660-3256
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2093 · Fax (423) 857-2012
Fax(423) 230-2421
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 26, 2007
Last NPPES UpdateSeptember 16, 2009
NPI 1750501326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 11970
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 96894 (TN)
105 W STONE DR, Kingsport, TN 37660

Other Identifiers 9

Medicaid3341427TN
Medicare PIN0281780001TN
Medicare PIN0281780003TN
Medicare UPINMC11115VA
Medicare PIN3341427TN
Medicaid1750501326VA
Medicare PIN3700592TN
Medicare UPINC06181VA
Medicare UPIN103I086169TN

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

Terri Duncan Fnp 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 ID8921198904
PECOS Enrollment IDI20071213000724
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 13

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.
338 services135 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
230 services40 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
166 services36 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.
100 services83 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
75 services75 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
45 services43 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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington 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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$101.31 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$31.91 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.41 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 20

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

Internal Medicine (Gastroenterology)
105 W STONE DR, STE 4C
KINGSPORT, TN 37660
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Surgery
105 W STONE DR, STE 4A
KINGSPORT, TN 37660
Obstetrics & Gynecology
105 W STONE DR, STE 2B
KINGSPORT, TN 37660
Durable Medical Equipment & Medical Supplies
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Family Medicine
105 W STONE DR, STE 1F
KINGSPORT, TN 37660
Physical Therapist
105 W STONE DR, STE 1D
KINGSPORT, TN 37660

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 Terri Duncan's NPI number?

The NPI number for Terri Duncan is 1750501326. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Terri Duncan located?

Terri Duncan practices at 105 W Stone Dr Ste 1F, Kingsport, TN 37660. The listed phone number is (423) 230-2420.

What is Terri Duncan's specialty?

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

Is Terri Duncan enrolled in Medicare?

Yes. Terri Duncan 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 Terri Duncan accept?

Health plans from BlueCross BlueShield of Tennessee list Terri Duncan 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 Terri Duncan affiliated with any hospitals?

According to CMS data, Terri Duncan is affiliated with Wellmont Holston Valley Medical Center and Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Terri Duncan was last updated on September 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.