Kelly E Harness, NP - Medicare Nurse Practitioner in Kingsport, TN

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Kelly E Harness, NP is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. She graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellmont Medical Associates Inc, Wellmont Medical Associates Inc, Blue Ridge Medical Management Corporation and her current practice location is 111 W Stone Dr Ste 110, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-3701.

Kelly E Harness is licensed to practice in North Carolina (license number 5010643) 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 1154432003.

Contact Information

Kelly E Harness, NP
111 W Stone Dr Ste 110,
Kingsport, TN 37660-6027
(423) 224-3701
Not Available

Map and Direction




Provider's Profile

Full NameKelly E Harness
GenderFemale
SpecialityNurse Practitioner
Experience23 Years
Location111 W Stone Dr Ste 110, Kingsport, 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:
  • Kelly E Harness graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1154432003
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 04/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6901898063
  • Enrollment ID: I20221229001731

Medical Identifiers

Medical identifiers for Kelly E Harness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154432003NPI-NPPES
425076205MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 153499 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 27841 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 5010643 (North Carolina)Primary
363LF0000XNurse Practitioner - Family 0024180875 (Virginia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellmont Medical Associates Inc8123291739432
Wellmont Medical Associates Inc8123291739432
Blue Ridge Medical Management Corporation9739099441283

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. Kelly E Harness allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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. Kelly E Harness 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
Kelly E Harness, NP
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 952-2111		Kelly E Harness, NP
111 W Stone Dr Ste 110,
Kingsport, TN 37660-6027

Ph: (423) 224-3701

Reviews and Comments


Nurse Practitioner Nurses in Kingsport, TN

Shae Peters,
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Phone: 423-245-6000    Fax: 423-245-4190
Mrs. Cathy A Greenwood, FNP-BC
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Practice Location: 3136 Winesap Rd, Kingsport, TN 37663
Phone: 423-726-2077    
Lauren Ernst Curry, APRN, FNP-C
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Practice Location: 1041 E Sullivan St, Kingsport, TN 37660
Phone: 423-279-2777    
Sherry Lynn Goode, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-3628    Fax: 423-224-3629
Patrina Nicolyn Cradic, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-4000    
Suzanne C. Dargan, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 W Stone Dr Ste 1f, Kingsport, TN 37660
Phone: 423-230-2420    Fax: 423-230-2422
Amanda M Malone, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1242 W Shipley Ferry Rd, Kingsport, TN 37663
Phone: 423-239-7300    Fax: 423-239-7607

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.