865 Wellness Ketamine LLC
NPI 1912696808 · Certified Registered Nurse Anesthetist · Knoxville, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
865 Wellness Ketamine LLC is a Certified Registered Nurse Anesthetist organization in Knoxville, TN (NPI 1912696808).
Provider details
- NPI number
- 1912696808
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Watson, Owner(865) 223-2468
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-05
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Frequently asked questions
- What is 865 Wellness Ketamine LLC's NPI number?
- 865 Wellness Ketamine LLC's National Provider Identifier (NPI) is 1912696808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 865 Wellness Ketamine LLC?
- 865 Wellness Ketamine LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is 865 Wellness Ketamine LLC located?
- 865 Wellness Ketamine LLC's practice location on file with NPPES is 601 S Concord St Ste 100, Knoxville, TN 37919-3339.
- What is 865 Wellness Ketamine LLC's phone number?
- The practice phone number listed in the NPPES registry for 865 Wellness Ketamine LLC is (865) 805-3118.
- Does 865 Wellness Ketamine LLC accept Medicare?
- 865 Wellness Ketamine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 865 Wellness Ketamine LLC?
- The authorized official listed on 865 Wellness Ketamine LLC's NPPES record is Jennifer Watson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 865 Wellness Ketamine LLC's NPI active?
- Yes — 865 Wellness Ketamine LLC's NPI (1912696808) is active in the NPPES registry as of the last update on 2025-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.