KRISTEN STAFFORD
NPI 1902284235
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Knoxville, TN
NPI Status: Active since May 06, 2015
Contact Information
1932 ALCOA HWY STE C570
KNOXVILLE, TN
ZIP 37920
Phone: (865) 305-6500
- Individual
- Female
- Years of Experience 12
- Pharmacist
- Pharmacist Clinician (PhC)/ Clinical Pha...
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About KRISTEN STAFFORD
This page provides the complete NPI Profile along with additional information for Kristen Stafford, a provider established in Knoxville, Tennessee with a medical specialization in Pharmacist, focusing in pharmacist clinician (phc)/ clinical pharmacy specialist and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1902284235 assigned on May 2015. The practitioner's primary taxonomy code is 1835P0018X with license number 38996 (TN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1902284235
- Provider Name
- KRISTEN STAFFORD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1932 ALCOA HWY STE C570 KNOXVILLE, TN 37920
- Location Phone
- (865) 305-6500
- Mailing Address
- 1018 OAK PARK AVE MARYVILLE, TN 37803
- Mailing Phone
- (186) 540-6352
- Medical School Name
- OTHER
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-06-2015
- Last Update Date
- 06-28-2023
- Code Navigator
A pharmacist like Kristen Stafford fills prescription medications, verifying instructions from physicians and offers expertise in the safe use of prescriptions. Pharmacists instruct patients on how to take a prescribed medicine and educate patients about potential side effects. Pharmacists might also conduct health and wellness screenings, provide immunizations, oversee the medications given to patients, and provide advice on healthy lifestyles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Taxonomy Code
- 1835P0018X
- Type
- Pharmacy Service Providers
- License No.
- 38996
- License State
- TN
- Taxonomy Description
- Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kristen Stafford is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Kristen Stafford is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8729379623
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20251107002583
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1902284235, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902284235, enumerated as an "individual" on May 06, 2015.
The provider is located at 1932 ALCOA HWY STE C570 KNOXVILLE, TN 37920 and the phone number is (865) 305-6500.
Pharmacist with taxonomy code 1835P0018X and a focus in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.