KATELYN BERMAN (NP) – Nurse Practitioner, NPI 1952851784

KATELYN BERMAN (NP) is a healthcare provider. based in Kingsport, Tennessee. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 1-130379 (AL). The NPI Number for KATELYN BERMAN (NP) is 1952851784

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN BERMAN (NP)
NPI
1952851784
Phone
(423) 230-2100
Address
444 CLINCHFIELD ST STE 201
Enumeration Date
5 October 2016
Last Update Date
6 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4232302100
Graduation Year
2016 (10 years ago)
PAC ID
0446539084
Group Practice PAC ID
5890699961
Professional Enrollment ID
I20180130002052
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:9State licenses:3Digital endpointsOther names

Provider Addresses for KATELYN BERMAN (NP)

  • 444 CLINCHFIELD ST STE 201

    KINGSPORT, TN 376603863

    Phone: (423) 230-2100

    Fax: (423) 230-2112

    Type: Mailing

  • 390 KANE ST

    GATE CITY, VA 242512753

    Phone: (276) 386-3411

    Fax: (276) 386-3492

    Type: Location

  • 141 OTARI DR

    KINGSPORT, TN 376645200

    Phone: (423) 276-2342

    Type: Mailing

  • 926 MAIN ST

    NASHVILLE, TN 372063614

    Phone: (423) 276-2342

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-02-22

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180130002052INurse PractitionerTNTBD
I20180222001516INurse PractitionerVATBD

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 37660)

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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: 5890699961View full group profile

Reviews

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Frequently asked questions

Where can patients find KATELYN BERMAN (NP)'s NPI?
You can confirm KATELYN BERMAN (NP) with NPI 1952851784; it appears in the national provider directory.
Is KATELYN BERMAN (NP) active in the national directory?
KATELYN BERMAN (NP)'s public NPI profile is in an active state.
Can you summarize KATELYN BERMAN (NP)'s specialty in plain language?
Clinically, the directory lists KATELYN BERMAN (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KATELYN BERMAN (NP)?
The snapshot lists Kingsport, Tennessee for KATELYN BERMAN (NP); download NPPES for the complete set.
How can I contact KATELYN BERMAN (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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