DR. KHAIRUNNISSA JOOMA (DNP/PMHNP-BC/LPC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639102791
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
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Provider Addresses for DR. KHAIRUNNISSA JOOMA (DNP/PMHNP-BC/LPC)
2205, McCallie Avenue, Highland Park, Glenwood, Ridgeside, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37404, United States
CHATTANOOGA, TN 374043230
Phone: (423) 697-8385
Type: Location
91 HARBOR POINTE WAY
KNOXVILLE, TN 379225154
Phone: (865) 684-0900
Type: Mailing
9041 EXECUTIVE PARK DR STE 275B
KNOXVILLE, TN 379234621
Phone: (865) 338-5384
Fax: (865) 338-5383
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $1,489.
Total Amount is formed as General ($1,489) + Research ($0) + Ownership ($0) = $1,489.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Neuronetics, Inc. ($1,460).
Total Amount
$1,489
General + Research + Ownership
Payments
3
Total payment records
General Amount
$1,489
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neuronetics, Inc. | $1,460 |
| Janssen Pharmaceuticals, Inc | $29 |
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: 2009-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1047 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20090710000603 | I | Nurse Practitioner | TN | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 37404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | TN | |
| Clinical Social Worker | TN | |
| - | TN | |
| Mental Health Counselor | TN | |
| - | TN | |
| Mental Health Counselor | TN | |
| Clinical Social Worker | CO | |
| Nurse Practitioner | TN | |
| Mental Health Counselor | TN | |
| Mental Health Counselor | TN |
Reviews
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