MEREDITH BROOKE HALE
NPI 1841964822
Physician Assistant in Kingsport, TN

Q: What is Meredith Hale's NPI number?

The NPI number for Meredith Hale is 1841964822. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Q: What is Meredith Hale's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Meredith Hale was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 04, 2021PECOS EnrolledAccepts Medicare Assignment

130 W RAVINE RD STE 3A, KINGSPORT, TN 37660(423) 502-8592 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Jul 14, 2023, Aug 26, 2021 and 1 more (4 updates tracked since 2021).

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About Meredith Brooke Hale NPPES

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

MEREDITH BROOKE HALE (NPI 1841964822) is an individual physician assistant in Kingsport, Tennessee, licensed in Tennessee (4777) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Kingsport.

NPPES Registry Identity

NPI1841964822

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMEREDITH BROOKE HALE

Location Address130 W RAVINE RD STE 3AKingsport, TN 37660-3841

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657

Phone(423) 502-8592

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 4, 2021

Last NPPES UpdateSeptember 17, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1841964822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 4777

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

130 W RAVINE RD STE 3A, Kingsport, TN 37660

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Secondary Practice Location 1

Location 1111 W Stone Dr Ste 310Kingsport, TN 37660-6030 · Phone (423) 398-7020

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

Meredith Brooke Hale 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 ID5597155580

PECOS Enrollment IDI20211207000154

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.

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

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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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 15

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

MR. CHARLES DAVID BRAY FNP-BC

Nurse Practitioner (Family)