MISS KACI ALLISON OETJEN – Physician Assistant, NPI 1194393918
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MISS KACI ALLISON OETJEN
310 N STATE OF FRANKLIN RD STE 103
JOHNSON CITY, TN 376046063
Phone: (423) 328-0163
Fax: (423) 491-8109
Type: Mailing
7305 JARNIGAN RD STE 260
CHATTANOOGA, TN 374214895
Phone: (423) 708-5050
Fax: (423) 708-5055
Type: Location
900 SOUTH LIMESTONE
COLLEGE OF HEALTH SCIENCES
LEXINGTON, KY 40504
Phone: (859) 323-1100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $1,053.
Total Amount is formed as General ($1,053) + Research ($0) + Ownership ($0) = $1,053.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($248).
Total Amount
$1,053
General + Research + Ownership
Payments
30
Total payment records
General Amount
$1,053
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $248 |
| Boston Scientific Corporation | $187 |
| Kerecis Limited | $110 |
| Organogenesis Inc. | $95 |
| ConvaTec Inc. | $89 |
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: 2026-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20211105000840 | I | Physician Assistant | GA | TBD |
| I20260220003364 | I | Physician Assistant | TN | TBD |
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.
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 37604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Physician Assistant | GA | |
| Vascular Surgery | MA | |
| Physician Assistant | GA | |
| General Surgery | SC | |
| Vascular Surgery, General Surgery | GA | |
| General Surgery, Vascular Surgery | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Vascular Surgery | GA |
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