BETH ANNE WILES (APN, FNP-C) – Family Nurse Practitioner, NPI 1003462698

BETH ANNE WILES (APN, FNP-C) is a healthcare provider. based in Kingston, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APN, FNP-C. They hold a License No. 25912 (TN). The NPI Number for BETH ANNE WILES (APN, FNP-C) is 1003462698

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
BETH ANNE WILES (APN, FNP-C)
NPI
1003462698
Phone
(865) 399-1286
Address
448 SHADY LN
Enumeration Date
10 August 2019
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
8653737100
Graduation Year
2019 (7 years ago)
PAC ID
7517493505
Group Practice PAC ID
2860305463
Professional Enrollment ID
I20241213002620
Address ID
TN379234301KN9320XBLVD300

Contacts

Secure Messaging
wiles.beth.anne@covenanthealth.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

10,656 NURSE PRACTITIONER in TN

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Provider Addresses for BETH ANNE WILES (APN, FNP-C)

  • Shady Lane, Kingston, Rockingham County, New Hampshire, 03848, United States

    KINGSTON, TN 377634512

    Phone: (865) 399-1286

    Type: Mailing

  • 389, River Road, Decatur County, Georgia, 39819, United States

    DECATUR, TN 373227801

    Phone: (423) 334-5185

    Type: Location

  • 9320 PARK WEST BLVD

    KNOXVILLE, TN 379234301

    Phone: (865) 373-7100

    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 $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-04-08 • Largest payer in this snapshot: Medtronic, Inc. ($87).

Total Amount

$87

General + Research + Ownership

Payments

1

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$87
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: 2024-12-13

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
I20241213002620INurse PractitionerTNTBD

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 37763)

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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: 2860305463View full group profile
NameSpecialtyState
Nurse PractitionerTN
Internal MedicineTN
Nurse PractitionerTN
Internal MedicineTN
Nurse PractitionerTN
Family PracticeTN
-TN
Physician AssistantTN
Nurse PractitionerTN
-TN

Reviews

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Frequently asked questions

How is BETH ANNE WILES (APN, FNP-C) identified in CMS data?
CMS-hosted NPPES data lists BETH ANNE WILES (APN, FNP-C) with NPI 1003462698.
Does the file indicate BETH ANNE WILES (APN, FNP-C) is practicing under active NPI?
Directory data currently reports BETH ANNE WILES (APN, FNP-C) as active.
What is BETH ANNE WILES (APN, FNP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for BETH ANNE WILES (APN, FNP-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for BETH ANNE WILES (APN, FNP-C)?
BETH ANNE WILES (APN, FNP-C)'s geographic hint is Kingston, Tennessee in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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