JUSTIN KINDRICK (N.P.) – Psychiatric/Mental Health Nurse Practitioner, NPI 1891915047

JUSTIN KINDRICK (N.P.) is a healthcare provider. based in Crossville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 143100 (TN). The NPI Number for JUSTIN KINDRICK (N.P.) is 1891915047

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN KINDRICK (N.P.)
NPI
1891915047
Phone
(931) 484-2727
Address
181 MATHERLY ST
Enumeration Date
30 April 2007
Last Update Date
20 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9198708409
Graduation Year
2011 (15 years ago)
PAC ID
9739331414
Group Practice PAC ID
8628386174
Professional Enrollment ID
I20250818004028
Address ID
NC276097224RA3801XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness85
Years active:19State licenses:3Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for JUSTIN KINDRICK (N.P.)

  • 181 MATHERLY ST

    CROSSVILLE, TN 385551001

    Phone: (931) 484-2727

    Fax: (931) 484-1670

    Type: Mailing

  • 42 DOOLEY STREET

    CROSSVILLE, TN 38555

    Phone: (931) 707-7117

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($64).

Total Amount

$199

General + Research + Ownership

Payments

10

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2025-08-18

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
I20250818004028INurse PractitionerNCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38555)

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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: 8628386174View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerNC
Physician AssistantVA
P S Y C H I A T R YNC
Mental Health CounselorNC
Physician AssistantNC
Nurse PractitionerNC
Clinical Social WorkerNC
Physician AssistantNC
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do payers reference JUSTIN KINDRICK (N.P.)?
For JUSTIN KINDRICK (N.P.), use NPI 1891915047 as the unique 10-digit identifier.
Is there an active status for JUSTIN KINDRICK (N.P.)?
For scheduling context, JUSTIN KINDRICK (N.P.) is shown as active in the registry.
What area of care is associated with JUSTIN KINDRICK (N.P.)?
JUSTIN KINDRICK (N.P.)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JUSTIN KINDRICK (N.P.)?
Directory geography for JUSTIN KINDRICK (N.P.) centers on Crossville, Tennessee.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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