Kellie Ann Wahl, NP-C - Medicare Nurse Practitioner in Chattanooga, TN

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Kellie Ann Wahl, NP-C is a medicare enrolled "Nurse Practitioner" in Chattanooga, Tennessee. Her current practice location is 1108 Valentine Cir, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (231) 920-5625.

Kellie Ann Wahl is licensed to practice in Michigan (license number 4704291998) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013387000.

Contact Information

Kellie Ann Wahl, NP-C
1108 Valentine Cir,
Chattanooga, TN 37405-2866
(231) 920-5625
Not Available

Map and Direction




Provider's Profile

Full NameKellie Ann Wahl
GenderFemale
SpecialityNurse Practitioner
Location1108 Valentine Cir, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013387000
  • Provider Enumeration Date: 10/02/2015
  • Last Update Date: 03/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5496038101
  • Enrollment ID: I20170203000092

Medical Identifiers

Medical identifiers for Kellie Ann Wahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013387000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704291998 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellie Ann Wahl allows following entities to bill medicare on her behalf.
Entity NameCovenant Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972590412
PECOS PAC ID: 2769387778
Enrollment ID: O20031209000107
Entity NameApogee Medical Group Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053655134
PECOS PAC ID: 9931347879
Enrollment ID: O20130604000688
Entity NameSamaritan Health Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598234056
PECOS PAC ID: 1254677719
Enrollment ID: O20190104001298
Entity NameBear River Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609427541
PECOS PAC ID: 4284069063
Enrollment ID: O20200124001902

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Ann Wahl is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellie Ann Wahl, NP-C
2329 Center St,
Boyne Falls, MI 49713-9268

Ph: (231) 535-2822		Kellie Ann Wahl, NP-C
1108 Valentine Cir,
Chattanooga, TN 37405-2866

Ph: (231) 920-5625

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.