KRISTEN R DORTCH-FARMER (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1831373810
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,134 PHYSICIAN ASSISTANT in TN
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Provider Addresses for KRISTEN R DORTCH-FARMER (PHYSICIAN ASSISTANT)
12201 BLUEGRASS PKWY
LOUISVILLE, KY 402992361
Phone: (502) 568-7366
Fax: (502) 568-7114
Type: Mailing
198, Old Farmers Road, Royalty Acres, Clarksville, Montgomery County, Tennessee, 37043, United States
CLARKSVILLE, TN 370434032
Phone: (931) 358-2900
Fax: (931) 358-3821
Type: Location
198 Old Farmers Rd
Clarksville, TN 370434032
Phone: (931) 358-2900
Fax: (931) 358-3821
Type: Location
392 GUNSON RIDGE RD
CUMBERLAND CITY, TN 370504369
Phone: (931) 220-6258
Type: Mailing
1469 TINY TOWN RD
CLARKSVILLE, TN 370427202
Phone: (931) 343-3347
Fax: (931) 905-7008
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($64).
Total Amount
$64
General + Research + Ownership
Payments
3
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $64 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-11-09
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091109000219 | I | Physician Assistant | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40299)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Orthopedic Surgery | TN | |
| Family Practice | VA | |
| Internal Medicine | TN | |
| Physical Medicine And Rehabilitation | TN | |
| Internal Medicine | NC | |
| Internal Medicine | SC | |
| - | CA | |
| R H E U M A T O L O G Y | GA | |
| Orthopedic Surgery | TN | |
| Family Practice | TN |
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