Provider Profile

Kenneth Nicley, PA

Unclaimed Profile

About Kenneth Nicley

Kenneth Nicley, PA is a physician assistant practicing in Maynardville, TN. Kenneth trained at Lincoln Memorial University Medical Department, graduating in 2013. According to Medicare claims data, Kenneth cared for 657 Medicare patients across 1,105 services. The services billed most often include insertion of needle into vein for collection of blood sample, established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Specialty

Physician Assistant (Primary)

Credentials & Licensing

TN license2416
NPI1306252598
NPI issued07/08/2014

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kenneth Nicley?

Kenneth Nicley is a physician assistant in Maynardville, TN. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Kenneth Nicley's address?

Kenneth Nicley is listed at 149 Durham Dr, Maynardville, TN 37807. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kenneth Nicley?

The number on file is (865) 992-2221. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Kenneth Nicley's NPI number?

Kenneth Nicley's National Provider Identifier is 1306252598. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kenneth Nicley train?

Kenneth Nicley attended Lincoln Memorial University Medical Department, graduating in 2013. This comes from the CMS National Downloadable File.

CMS public data

How long has Kenneth Nicley been practicing?

Kenneth Nicley has 13 years experience. Calculated from a graduation year of 2013, reported in the CMS National Downloadable File.

CMS public data

What procedures does Kenneth Nicley perform?

According to Medicare billing data, Kenneth Nicley performs procedures including insertion of needle into vein for collection of blood sample; reads or performs imaging such as x-ray of chest, 2 views; provides treatments such as injection of drug or substance under skin or into muscle and influenza vaccine split virus, preservative free, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Kenneth Nicley confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kenneth Nicley. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.