Robert Rutherford, NP - Medicare Nurse Practitioner in Kingsport, TN

Robert Rutherford, NP is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Holston Medical Group Pc, Holston Medical Group Pc and his current practice location is 105 W Stone Dr Ste 1f, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 230-2420.

Robert Rutherford is licensed to practice in Tennessee (license number 18817) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427461755.

Contact Information

Robert Rutherford, NP
105 W Stone Dr Ste 1f,
Kingsport, TN 37660
(423) 230-2420
Not Available

Map and Direction




Provider's Profile

Full NameRobert Rutherford
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location105 W Stone Dr Ste 1f, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Robert Rutherford attended and graduated from East Tennessee State University Quillen College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1427461755
  • Provider Enumeration Date: 06/04/2014
  • Last Update Date: 07/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3072732494
  • Enrollment ID: I20140917002594

Medical Identifiers

Medical identifiers for Robert Rutherford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427461755NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024171932 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 18817 (Tennessee)Primary
163W00000XRegistered Nurse 162686 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnston Memorial HospitalAbingdon, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holston Medical Group Pc8224935754221
Holston Medical Group Pc8224935754221

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. Robert Rutherford allows following entities to bill medicare on his behalf.
Entity NameHolston Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831110667
PECOS PAC ID: 8224935754
Enrollment ID: O20031216000416
Entity NameNortheast Tennessee Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467427138
PECOS PAC ID: 7517911712
Enrollment ID: O20050310000431
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909
Entity NameTri-cities Regional Emergency Physicians, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063950046
PECOS PAC ID: 3678859477
Enrollment ID: O20170410002399

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. Robert Rutherford 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
Robert Rutherford, NP
Po Box 9,
Kingsport, TN 37662-0009

Ph: (423) 857-2093
Robert Rutherford, NP
105 W Stone Dr Ste 1f,
Kingsport, TN 37660

Ph: (423) 230-2420

Reviews and Comments


Nurse Practitioner Nurses in Kingsport, TN

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Amanda M Malone, MSN, FNP-BC
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Mrs. Amanda Susan Burns, ARNP
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Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660
Phone: --    
Mary Renee Mcnees, FNP-BC
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Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660
Phone: 423-765-9655    Fax: 423-979-6333

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.