KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1194435800

KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC) is a healthcare provider. based in Knoxville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. 0000244679 (TN). The NPI Number for KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC) is 1194435800

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC)
NPI
1194435800
Phone
(865) 970-9800
Address
550 FORT SUMMIT WAY FL 2
Enumeration Date
5 December 2022
Last Update Date
14 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8659709800
Graduation Year
2022 (4 years ago)
PAC ID
8820453897
Group Practice PAC ID
8527965417
Professional Enrollment ID
I20230426001000
Address ID
TN379092441KN1451XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC)

  • 550 FORT SUMMIT WAY FL 2

    KNOXVILLE, TN 379152146

    Phone: (865) 970-9800

    Fax: (865) 374-2054

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($25).

Total Amount

$76

General + Research + Ownership

Payments

4

Total payment records

General Amount

$76

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

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: 2023-04-26

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
I20230426001000INurse 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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8234$0
G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth6262$0
G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth4140$0
View full utilization report →

Insurance plans in this area (ZIP 37915)

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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: 8527965417View full group profile
NameSpecialtyState
-TN
P S Y C H I A T R YTN
-TN
Nurse PractitionerTN
P S Y C H I A T R YTN
Cardiovascular Disease (Cardiology), Interventional CardiologyTN
Nurse PractitionerTN
P S Y C H I A T R YTN
Nurse PractitionerTN
-TN

Reviews

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Frequently asked questions

Where can patients find KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC)'s NPI?
You can confirm KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC) with NPI 1194435800; it appears in the national provider directory.
Does this profile mean KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC) is currently active?
Yes — KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC) appears active in the national provider directory.
What field does KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC) work in?
You can think of KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC) practice in Tennessee?
You will see Knoxville, Tennessee on file for KASSIDY NICOLE HUBBARD (APRN, PMHNP-BC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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