KAITLYN ANNE AVERETT (FNPC) – Family Nurse Practitioner, NPI 1780143297
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for KAITLYN ANNE AVERETT (FNPC)
PO BOX 689
WAYNESBORO, TN 384850689
Phone: (931) 722-2800
Fax: (931) 722-9627
Type: Mailing
107 JV MANGUBAT DR
WAYNESBORO, TN 384852440
Phone: (931) 722-2800
Fax: (931) 722-9627
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 91 Open Payments records for all available years, with a total value of $1,556.
Total Amount is formed as General ($1,556) + Research ($0) + Ownership ($0) = $1,556.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($358).
Total Amount
$1,556
General + Research + Ownership
Payments
91
Total payment records
General Amount
$1,556
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $358 |
| Novo Nordisk Inc | $199 |
| Neurocrine BioSciences, Inc. | $68 |
| Xeris Pharmaceuticals, Inc. | $62 |
| Alkermes, Inc. | $61 |
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: 2019-07-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190718001740 | I | Nurse Practitioner | 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 38485)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Hospitalist, Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
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