ANTHONY M. KINGSLEY (FNP) – Family Nurse Practitioner, NPI 1003267865

ANTHONY M. KINGSLEY (FNP) is a healthcare provider. based in Jacksboro, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 21300 (TN). The NPI Number for ANTHONY M. KINGSLEY (FNP) is 1003267865

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY M. KINGSLEY (FNP)
NPI
1003267865
Phone
(423) 500-9140
Address
163 PERKINS LN
Enumeration Date
23 June 2016
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
4235920422
Graduation Year
2016 (10 years ago)
PAC ID
0547553554
Group Practice PAC ID
2860396330
Professional Enrollment ID
I20160728002116
Address ID
TN377572833JA163XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

Provider Addresses for ANTHONY M. KINGSLEY (FNP)

  • 163 PERKINS LN

    JACKSBORO, TN 377572833

    Phone: (423) 500-9140

    Fax: (423) 435-0828

    Type: Mailing

  • 1225, East Weisgarber Road, Timbercrest, Knoxville, Knox County, Tennessee, 37909, United States

    SUITE 200

    KNOXVILLE, TN 379092604

    Phone: (865) 584-4747

    Fax: (865) 584-1363

    Type: Mailing

  • 2545, Jacksboro Pike, La Follette, Campbell County, Tennessee, 37766, United States

    JACKSBORO, TN 377574847

    Phone: (423) 566-8181

    Fax: (423) 562-9692

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $1,472.

Total Amount is formed as General ($1,472) + Research ($0) + Ownership ($0) = $1,472.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($283).

Total Amount

$1,472

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,472

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-07-28

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160728002116INurse PractitionerTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg22822$0
36415Insertion of needle into vein for collection of blood sample17787$0
99213Established patient office or other outpatient visit, 20-29 minutes15976$0
80053Blood test, comprehensive group of blood chemicals13783$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count13578$0
View full utilization report →

Insurance plans in this area (ZIP 37757)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860396330View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm ANTHONY M. KINGSLEY (FNP)'s NPI?
Yes. ANTHONY M. KINGSLEY (FNP) is listed with NPI 1003267865 in the public NPI dataset.
Can I rely on ANTHONY M. KINGSLEY (FNP) being an active provider?
As of the registry snapshot, ANTHONY M. KINGSLEY (FNP) is marked active.
What taxonomy line describes ANTHONY M. KINGSLEY (FNP)?
For research purposes, treat ANTHONY M. KINGSLEY (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is ANTHONY M. KINGSLEY (FNP) based?
ANTHONY M. KINGSLEY (FNP) is tied to Jacksboro, Tennessee in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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