KELLY M HARE F.N.P.
NPI 1821115676
Nurse Practitioner in Kingsport, TN

Q: What is Kelly Hare's NPI number?

The NPI number for Kelly Hare is 1821115676. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Q: What is Kelly Hare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Hare was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment

2205 PAVILION DR, SUITE 201B, KINGSPORT, TN 37660(423) 857-7650(423) 857-7655 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly M Hare F.n.p. NPPES

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

KELLY M HARE F.N.P. (NPI 1821115676) is an individual nurse practitioner in Kingsport, Tennessee, licensed in Tennessee (12652) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2007).

NPPES Registry Identity

NPI1821115676

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY M HARECredential: F.N.P.

Location Address2205 PAVILION DR, SUITE 201BKingsport, TN 37660-4641

Mailing Address2205 Pavilion Dr, Suite 201bKingsport, TN 37660-4641 · (423) 857-7650 · Fax (423) 857-7655

Phone(423) 857-7650

Fax(423) 857-7655

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2007

Enumeration DateMarch 26, 2007

Last NPPES UpdateJanuary 30, 2017

✔ NPI 1821115676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 12652

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2205 PAVILION DR, Kingsport, TN 37660

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Other Identifiers 14

Medicare PIN103I507508TN

Medicare PINV V3871BVA

Medicare PIN103G477120TN

Medicare PIN3700107TN

Medicare PINV V3871AVA

Medicaid7100023580KY

MedicaidQ016582TN

Medicare PIN103I502818TN

Medicare PINP00657039TN

Medicare PIN017058P50VA

Medicare PIN103I503179TN

OtherP01662016TN · Rr Medicare

Medicare PINP00657039GA

Medicare PINP00657043VA

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

Kelly M Hare F.n.p. 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 ID8527150374

PECOS Enrollment IDI20070823000920

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 5

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.

386 services322 patients

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.

131 services110 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

59 services59 patients

Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator 95970

This procedure involves using electronic devices to analyze the function of a neurostimulator - a device implanted in your brain, spinal cord, or peripheral nerves. It helps monitor and adjust the device's settings for optimal performance and patient comfort.

17 services12 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

17 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440012

LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County

Emergency services Birthing friendly

Russell County Hospital

Acute Care Hospitals · Lebanon, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490002

Location58 Carroll StreetLebanon, VA 24266 · Russell County

Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490053

Location16000 Johnston Memorial DriveAbingdon, VA 24211 · 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 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604