KACY NICHOLE DUNCAN (FNP) – Family Nurse Practitioner, NPI 1083967962

KACY NICHOLE DUNCAN (FNP) is a healthcare provider. based in Johnson city, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 16831 (TN). The NPI Number for KACY NICHOLE DUNCAN (FNP) is 1083967962

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KACY NICHOLE DUNCAN (FNP)
NPI
1083967962
Phone
(423) 282-1480
Address
119 BOONE RIDGE DR
Enumeration Date
17 October 2012
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4239902424
Graduation Year
2012 (14 years ago)
PAC ID
0547412314
Group Practice PAC ID
8224935754
Professional Enrollment ID
I20121203000102
Address ID
TN376207351BR240XXBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

Provider Addresses for KACY NICHOLE DUNCAN (FNP)

  • 119 BOONE RIDGE DR

    SUITE 201

    JOHNSON CITY, TN 376154998

    Phone: (423) 282-1480

    Fax: (423) 928-1353

    Type: Mailing

  • 1 MEDICAL PARK BLVD

    BRISTOL, TN 376207430

    Phone: (423) 282-1480

    Fax: (423) 928-1353

    Type: Location

  • 240 MEDICAL PARK BLVD STE 3800

    BRISTOL, TN 376207351

    Phone: (423) 990-2424

    Fax: (423) 274-6360

    Type: Location

  • PO BOX 9

    KINGSPORT, TN 376620009

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 202 Open Payments records for all available years, with a total value of $3,273.

Total Amount is formed as General ($3,273) + Research ($0) + Ownership ($0) = $3,273.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lilly USA, LLC ($603).

Total Amount

$3,273

General + Research + Ownership

Payments

202

Total payment records

General Amount

$3,273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2015-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (889 days ago).

Enrollment records

2

Earliest due date

2023-12-31

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
I20121203000102INurse PractitionerTN2023-12-31
I20150930002502INurse PractitionerVATBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99214Established patient office or other outpatient visit, 30-39 minutes453187$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report14658$0
99204New patient office or other outpatient visit, 45-59 minutes6262$0
View full utilization report →

Insurance plans in this area (ZIP 37615)

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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: 8224935754View full group profile
NameSpecialtyState
Internal MedicineTN
G A S T R O E N T E R O L O G YTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Physician AssistantTN
Family PracticeVA
-TN
Family PracticeTN

Reviews

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Frequently asked questions

How do I look up KACY NICHOLE DUNCAN (FNP) by NPI?
Use NPI 1083967962 when you need to reference KACY NICHOLE DUNCAN (FNP) in forms, claims, or directories.
Is KACY NICHOLE DUNCAN (FNP)'s NPI currently valid?
The extract we use shows KACY NICHOLE DUNCAN (FNP) as active.
What field does KACY NICHOLE DUNCAN (FNP) work in?
You can think of KACY NICHOLE DUNCAN (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KACY NICHOLE DUNCAN (FNP) practice in Tennessee?
You will see Johnson City, Tennessee on file for KACY NICHOLE DUNCAN (FNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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