MS. MARY KATHLEEN FLACH QUISENBERRY (PA-C) – Physician Assistant, NPI 1497822563
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MS. MARY KATHLEEN FLACH QUISENBERRY (PA-C)
1001 HEALTH PARK DR STE 210
BRENTWOOD, TN 370275746
Phone: (615) 392-6050
Type: Location
5655 Frist Blvd
Hermitage, TN 370762053
Phone: (615) 316-3000
Type: Location
1695 Kernersville Medical Pkwy
Kernersville, NC 272847159
Phone: (336) 515-5000
Type: Location
Brandon Regional Hospital, 119, Oakfield Drive, Brandon, Hillsborough County, Florida, 33511, United States
BRANDON, FL 335115779
Phone: (813) 571-5100
Fax: (813) 653-7025
Type: Location
2842 S GLENDALE AVE
SPRINGFIELD, MO 658043944
Phone: (417) 820-2115
Type: Mailing
1235 E CHEROKEE ST
SPRINGFIELD, MO 658042203
Phone: (417) 820-2115
Type: Location
1712 NATCHEZ TRCE
NASHVILLE, TN 372123329
Phone:
Type: Mailing
Harbourside Building, 18167, US Highway 19 North, Clearwater, Pinellas County, Florida, 33764, United States
SUITE 650
CLEARWATER, FL 337643528
Phone: (800) 507-8874
Fax: (727) 536-2896
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 $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-01-05 • Largest payer in this snapshot: Masimo Corporation ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Masimo Corporation | $18 |
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: 2025-04-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20200224001721 | I | Physician Assistant | NC | TBD |
| I20230324001271 | I | Physician Assistant | MO | TBD |
| I20250430001504 | I | Physician Assistant | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37027)
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