CARISSA NICHOLE DEPEW (DNP, AGPCNP) – Nurse Practitioner, NPI 1477079861
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for CARISSA NICHOLE DEPEW (DNP, AGPCNP)
400 N State Of Franklin Rd
Johnson City, TN 376046035
Phone: (423) 431-6111
Type: Location
1420 Tusculum Blvd
Greeneville, TN 377454279
Phone: (423) 787-5000
Type: Location
130 W Ravine Rd
Kingsport, TN 376603837
Phone: (423) 224-4000
Type: Location
3 Professional Park Dr Ste 31
Johnson City, TN 376046529
Phone: (423) 232-6900
Type: Location
2000 Brookside Dr
Kingsport, TN 376604627
Phone: (423) 857-7000
Type: Location
2202 N John B Dennis Hwy Ste 110
Kingsport, TN 376605904
Phone: (423) 578-8400
Type: Location
1 Medical Park Blvd Ste 210E
Bristol, TN 376207468
Phone: (423) 844-5500
Type: Location
331 NEWMAN SPRINGS RD
RED BANK, NJ 077015688
Phone:
Type: Mailing
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 088613654
Phone: (732) 442-3700
Type: Location
Johnson City Medical Center, 400, North State of Franklin Road, The Y, Johnson City, Washington County, Tennessee, 37604, United States
JOHNSON CITY, TN 376046035
Phone: (423) 431-6111
Type: Location
Med Tech Parkway, Johnson City, Washington County, Tennessee, United States
JOHNSON CITY, TN 376042579
Phone: (423) 431-6146
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241119004007 | I | Nurse Practitioner | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 150 | 142 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 144 | 96 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | 31 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 37604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NJ | |
| Geriatric Medicine, Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Vascular Surgery | NY | |
| Physician Assistant | NJ | |
| Physician Assistant | NY | |
| Orthopedic Surgery | NJ | |
| General Surgery | NJ |
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