AUDREY L. PICKLESIMER MS,RD,LDN
NPI 1780838920
Dietitian, Registered in Knoxville, TN

Q: What is Audrey Picklesimer's NPI number?

The NPI number for Audrey Picklesimer is 1780838920. It was assigned to this individual provider in the NPPES registry on November 14, 2008.

Q: What is Audrey Picklesimer's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since November 14, 2008Accepts Medicare Assignment

200 PROSPERITY DR, KNOXVILLE, TN 37923(865) 290-0110(865) 290-0140 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Audrey L. Picklesimer Ms,rd,ldn NPPES

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

AUDREY L. PICKLESIMER MS,RD,LDN (NPI 1780838920) is an individual dietitian, registered in Knoxville, Tennessee, licensed in Tennessee (1960) and active in the NPI registry since November 2008. She is a graduate of East Tennessee State University Quillen College Of Medicine (2007).

NPPES Registry Identity

NPI1780838920

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameAUDREY L. PICKLESIMERCredential: MS,RD,LDN

Location Address200 PROSPERITY DRKnoxville, TN 37923-4718

Mailing Address3420 New Corinth RdBlaine, TN 37709-5623 · (865) 290-0110 · Fax (865) 290-0140

Phone(865) 290-0110

Fax(865) 290-0140

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2007

Enumeration DateNovember 14, 2008

Last NPPES UpdateJanuary 3, 2025

NPPES CertifiedJanuary 3, 2025

✔ NPI 1780838920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in TN · 1960

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

200 PROSPERITY DR, Knoxville, TN 37923

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Other Identifiers 1

OtherPENDINGTN · Non Applicable

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

Audrey L. Picklesimer Ms,rd,ldn 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 ID9830251016

PECOS Enrollment IDI20081222000640

Medicare Billing Reassignment

Medicare enrollment records show Audrey Picklesimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Tn Nutrition And Wellness

Same address

Dietitian, Registered

200 PROSPERITY DR
Knoxville, TN 37923

Reassigned Medicare billing, Tennessee enrollment
2 clinicians in this Medicare group

NPI 1386379071 (865) 290-0110

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 37923 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

$0.00 typical visit price

range $52.64 – $160.89

Typical copayment $0.00 (range $13.16 – $40.22)

Most-billed visit code NA

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.

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.

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