KATY TILLEY – Family Nurse Practitioner, NPI 1457712424

KATY TILLEY is a healthcare provider. based in Madisonville, Tennessee. specializing in Family Nurse Practitioner. They hold a License No. 20895 (TN). The NPI Number for KATY TILLEY is 1457712424

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KATY TILLEY
NPI
1457712424
Phone
(423) 442-2622
Address
PO BOX 278
Enumeration Date
17 March 2016
Last Update Date
17 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4234422622
Graduation Year
2015 (11 years ago)
PAC ID
2163713322
Group Practice PAC ID
9436130135
Professional Enrollment ID
I20160617000564
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for KATY TILLEY

  • PO BOX 278

    MADISONVILLE, TN 373540278

    Phone: (423) 442-2622

    Fax: (423) 442-5760

    Type: Mailing

  • 1206 HIGHWAY 411

    VONORE, TN 378852455

    Phone: (423) 884-7271

    Fax: (423) 884-3277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 37354)

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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: 9436130135View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineTN
Family PracticeTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

How do payers reference KATY TILLEY?
For KATY TILLEY, use NPI 1457712424 as the unique 10-digit identifier.
Is KATY TILLEY still an active registrant?
KATY TILLEY carries an active NPI according to the public dataset.
What clinical focus is listed for KATY TILLEY?
At a glance, KATY TILLEY is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KATY TILLEY?
Directory geography for KATY TILLEY centers on Madisonville, Tennessee.
When was this NPI issued?
Enumeration for KATY TILLEY is noted as March 17, 2016 where the registry provides it.

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