Kellie L Mathewson, NP - Medicare Nurse Practitioner in Knoxville, TN

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Kellie L Mathewson, NP is a medicare enrolled "Nurse Practitioner" in Knoxville, Tennessee. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Healthstar Physicians, P.c., Sr Medical Services and her current practice location is 2030 Falling Waters Rd Ste 325, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 951-1300.

Kellie L Mathewson is licensed to practice in Tennessee (license number 15629) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780983841.

Contact Information

Kellie L Mathewson, NP
2030 Falling Waters Rd Ste 325,
Knoxville, TN 37922-5893
(865) 951-1300
Not Available

Map and Direction




Provider's Profile

Full NameKellie L Mathewson
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location2030 Falling Waters Rd Ste 325, Knoxville, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kellie L Mathewson graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1780983841
  • Provider Enumeration Date: 03/15/2011
  • Last Update Date: 07/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7315121225
  • Enrollment ID: I20110418000258

Medical Identifiers

Medical identifiers for Kellie L Mathewson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780983841NPI-NPPES
1523154MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 112416 (Tennessee)Secondary
363L00000XNurse Practitioner 15629 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthstar Physicians, P.c.589069097886
Sr Medical Services66089314986

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellie L Mathewson allows following entities to bill medicare on her behalf.
Entity NameUniversity Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790738763
PECOS PAC ID: 5294646378
Enrollment ID: O20031111000809
Entity NameSummit Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793
Entity NameHealthstar Physicians, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184610248
PECOS PAC ID: 5890690978
Enrollment ID: O20031203000021
Entity NameAmerican Anesthesiology Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609822998
PECOS PAC ID: 9931001922
Enrollment ID: O20040713001364
Entity NameSummit View Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952557381
PECOS PAC ID: 7113971599
Enrollment ID: O20050309000999
Entity NameSr Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831322973
PECOS PAC ID: 6608931498
Enrollment ID: O20090211000156

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie L Mathewson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellie L Mathewson, NP
2030 Falling Waters Rd Ste 325,
Knoxville, TN 37922-5893

Ph: (865) 951-1300		Kellie L Mathewson, NP
2030 Falling Waters Rd Ste 325,
Knoxville, TN 37922-5893

Ph: (865) 951-1300

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.