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MR. KEITH L KIDD FNP-BC
NPI 1811168941
Nurse Practitioner - Family in Charleston, TN

Active since March 17, 2008PECOS EnrolledAccepts Medicare Assignment
9026 HIWASSEE ST NE, CHARLESTON, TN 37310(423) 665-3666(423) 584-6747 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2019, Apr 30, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Mr. Keith L Kidd Fnp-bc NPPES

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

MR. KEITH L KIDD FNP-BC (NPI 1811168941) is an individual family provider in Charleston, Tennessee, licensed in Tennessee (13254) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Tennova Health Care-cleveland, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1811168941
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KEITH L KIDDCredential: FNP-BC
Location Address9026 HIWASSEE ST NECharleston, TN 37310-5305
Mailing AddressPo Box 15Charleston, TN 37310-0015 · (423) 665-3666 · Fax (423) 584-6747
Phone(423) 665-3666
Fax(423) 584-6747
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 17, 2008
Last NPPES UpdateOctober 29, 20214 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
✔ NPI 1811168941 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
License✔ Licensed in TN · 13254
9026 HIWASSEE ST NE, Charleston, TN 37310
Open in Google Maps ↗

Secondary Practice Location 1

Location 19026 Hiwassee St NECharleston, TN 37310-5305 · Phone (423) 665-3666 · Fax (423) 584-6747

Other Identifiers 3

Other02684136TN · Amerigroup
MedicaidQ007277TN
Other3476201Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Mr. Keith L Kidd Fnp-bc 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 ID446324404
PECOS Enrollment IDI20080808000540
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.

Hospital Affiliations CMS Care Compare

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

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440185
Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37310 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
9%22 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
18%22 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%111 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%6,004 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
88%334 patients5/55-star benchmark: 88%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
38%276 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%276 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%276 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
4%276 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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
2 suppliers14 claims36 services$5.32 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier92 claims108 services$6.47 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 suppliers20 claims20 services$97.44 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers11 claims600 services$0.82 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$184.81 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

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

PREFERRED FAMILY MEDICAL CARE LLC
Clinic/Center (Primary Care)
9026 HIWASSEE ST NE
CHARLESTON, TN 37310
Bradley County (423) 665-3666

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 Keith Kidd's NPI number?

The NPI number for Keith Kidd is 1811168941. It was assigned to this individual provider in the NPPES registry on March 17, 2008.

Where is Keith Kidd located?

Keith Kidd practices at 9026 Hiwassee St NE, Charleston, TN 37310. The listed phone number is (423) 665-3666.

What is Keith Kidd's specialty?

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

Is Keith Kidd enrolled in Medicare?

Yes. Keith Kidd 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 Keith Kidd accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Keith Kidd 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 Keith Kidd affiliated with any hospitals?

According to CMS data, Keith Kidd is affiliated with Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Keith Kidd was last updated on October 29, 2021. 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.