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NPI · 1306252598 · NPPES-sourced

Mr. Kenneth Nicley PA

ActivePhysician Assistant
NPI Number
1306252598
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(865) 992-2221
License TN · 2416
Last Updated
Enumerated
Primary practice addressTN · 37807-2925
149 Durham DrMaynardville, TN 37807-2925
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About this NPIWhat this record shows.

NPI 1306252598 is registered to Mr. Kenneth Nicley PA, a Physician Assistant practising at 149 Durham Dr in Maynardville, Tennessee. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Kenneth Nicley PA has been enumerated in the National Provider Identifier (NPI) registry since 2014.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Kenneth Nicley PA accepts. To confirm in-network status with your specific health plan, contact Mr. Kenneth Nicley PA directly at (865) 992-2221.

Frequently asked

Yes. NPI 1306252598 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (865) 992-2221.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Kenneth Nicley PA is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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4 records · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in Tennessee.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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