Kristy L Daniels, FNP in Somerville, TN - Medicare Nurse Practitioner

Kristy L Daniels, FNP is a medicare enrolled "Nurse Practitioner - Family" in Somerville, Tennessee. Her current practice location is 16530 Us Highway 64, Somerville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 813-8138.

Kristy L Daniels is licensed to practice in Tennessee (license number 36108) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114770971.

Contact Information

	Kristy L Daniels, FNP
	16530 Us Highway 64, Somerville, TN 38068-6185
	(901) 813-8138
	(901) 813-8793

Map and Direction

Provider's Profile

Full Name	Kristy L Daniels
Gender	Female
Speciality	Nurse Practitioner - Family
Location	16530 Us Highway 64, Somerville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114770971
Provider Enumeration Date: 04/10/2024
Last Update Date: 08/06/2025

Medicare PECOS Information:

PECOS PAC ID: 9436691086
Enrollment ID: I20240611001011

Medical Identifiers

Medical identifiers for Kristy L Daniels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114770971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	260774 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	36108 (Tennessee)	Primary

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. Kristy L Daniels allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

Entity Name	David L Seaton
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609353192 PECOS PAC ID: 2567998933 Enrollment ID: O20241209002349

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. Kristy L Daniels 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 Address	Practice Location Address
Kristy L Daniels, FNP 16530 Us Highway 64, Somerville, TN 38068-6185 Ph: (901) 813-8793	Kristy L Daniels, FNP 16530 Us Highway 64, Somerville, TN 38068-6185 Ph: (901) 813-8138

Reviews and Comments

Nurse Practitioner Nurses in Somerville, TN

Mrs. Paula Lenore Walker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Woodbridge, Suite A, Somerville, TN 38068 Phone: 901-465-6353 Fax: 901-465-5948
Mrs. Pamela C Pierski, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17310 Hwy 64, Somerville, TN 38068 Phone: 901-465-2245 Fax: 901-465-8683
Elizabeth P Mcknight, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Woodbridge Rd Ste A, Somerville, TN 38068 Phone: 901-465-6353 Fax: 833-902-3599
Breianne M Chisholm, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1744 Us Highwa 64, Somerville, TN 38068 Phone: 731-609-8992
Michelle G Elrod, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Woodbridge Rd Ste A, Somerville, TN 38068 Phone: 901-465-6353 Fax: 833-902-3599
Jamey K Colston, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Woodbridge Rd, Somerville, TN 38068 Phone: 901-465-6353 Fax: 833-902-3599
Stephanie Denise Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 Lake Dr, Somerville, TN 38068 Phone: 731-394-1145

Kristy L Daniels, FNP - Medicare Nurse Practitioner in Somerville, TN