KRISTA NIICOLE BAILEY (AGPCNP-BC) – Gerontology Nurse Practitioner, NPI 1477028256

KRISTA NIICOLE BAILEY (AGPCNP-BC) is a healthcare provider. based in Manchester, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 24900 (TN). The NPI Number for KRISTA NIICOLE BAILEY (AGPCNP-BC) is 1477028256

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KRISTA NIICOLE BAILEY (AGPCNP-BC)
NPI
1477028256
Phone
(931) 728-4718
Address
482 INTERSTATE DR STE A
Enumeration Date
9 October 2018
Last Update Date
28 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6159042449
Graduation Year
2018 (8 years ago)
PAC ID
4385981018
Group Practice PAC ID
8628221165
Professional Enrollment ID
I20190202000217
Address ID
TN371291545MU1927XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

Provider Addresses for KRISTA NIICOLE BAILEY (AGPCNP-BC)

  • 482 INTERSTATE DR STE A

    MANCHESTER, TN 373553409

    Phone: (931) 728-4718

    Fax: (931) 728-1016

    Type: Mailing

  • 1927 MEMORIAL BLVD

    MURFREESBORO, TN 37129

    Phone: (615) 904-9111

    Fax: (931) 728-1016

    Type: Location

  • 2717 E OAKLAND AVE

    JOHNSON CITY, TN 376011843

    Phone: (423) 926-2358

    Fax: (423) 926-2680

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-08-31 • Largest payer in this snapshot: ABBVIE INC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$16
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: 2019-02-02

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
I20190202000217INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2,334405$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes484234$0
99316Nursing facility discharge management, more than 30 minutes275251$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes9166$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 37355)

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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: 8628221165View full group profile
NameSpecialtyState
Geriatric Medicine, Internal Medicine, Internal MedicineMS
Internal MedicineTN
Internal MedicineCA
Internal MedicineTN
Family PracticeTN
Internal Medicine, Pediatric MedicineTN
Internal MedicineIA
Nurse PractitionerTN
Nurse PractitionerTN
Internal MedicineOH

Reviews

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Frequently asked questions

What is KRISTA NIICOLE BAILEY (AGPCNP-BC)'s NPI number?
KRISTA NIICOLE BAILEY (AGPCNP-BC)'s NPI is 1477028256 — the number used across U.S. healthcare to identify this provider.
Would KRISTA NIICOLE BAILEY (AGPCNP-BC) appear as active to a payer?
You can treat KRISTA NIICOLE BAILEY (AGPCNP-BC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KRISTA NIICOLE BAILEY (AGPCNP-BC)?
KRISTA NIICOLE BAILEY (AGPCNP-BC) is associated with Gerontology Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KRISTA NIICOLE BAILEY (AGPCNP-BC)?
Directory geography for KRISTA NIICOLE BAILEY (AGPCNP-BC) centers on Manchester, Tennessee.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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