Kyndall Leigh Petry, in Fairview, TN - Medicare Nurse Practitioner

Kyndall Leigh Petry, is a medicare enrolled "Nurse Practitioner - Family" in Fairview, Tennessee. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advanced Diagnostic Imaging Pc and her current practice location is 2340 Fairview Blvd Ste 600d, Fairview, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 266-2177.

Kyndall Leigh Petry is licensed to practice in Tennessee (license number 31078) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134875842.

Contact Information

	Kyndall Leigh Petry,
	2340 Fairview Blvd Ste 600d, Fairview, TN 37062-9457
	(615) 266-2177
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyndall Leigh Petry
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	2340 Fairview Blvd Ste 600d, Fairview, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kyndall Leigh Petry graduated from nursing school in 2021

NPI Data:

NPI Number: 1134875842
Provider Enumeration Date: 02/22/2022
Last Update Date: 10/02/2025

Medicare PECOS Information:

PECOS PAC ID: 7113301623
Enrollment ID: I20220901001885

Medical Identifiers

Medical identifiers for Kyndall Leigh Petry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134875842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	31078 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tristar Horizon Medical Center	Dickson, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Diagnostic Imaging Pc	7315848140	528

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. Kyndall Leigh Petry allows following entities to bill medicare on her behalf.

Entity Name	Advanced Diagnostic Imaging Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677

Entity Name	Privia Medical Group Tennessee Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376110858 PECOS PAC ID: 0547667552 Enrollment ID: O20210917001131

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. Kyndall Leigh Petry 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 Address	Practice Location Address
Kyndall Leigh Petry, 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018	Kyndall Leigh Petry, 2340 Fairview Blvd Ste 600d, Fairview, TN 37062-9457 Ph: (615) 266-2177

Reviews and Comments

Nurse Practitioner Nurses in Fairview, TN

Katie Elizabeth Barnes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2340 Fairview Blvd, Fairview, TN 37062 Phone: 615-266-2177 Fax: 615-266-2331
Sandra Sue Jones, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2727 Fairview Blvd, Fairview, TN 37062 Phone: 615-799-0101 Fax: 615-799-0202
Selena Phillips, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2727 Fairview Blvd, Fairview, TN 37062 Phone: 615-799-0101
Mrs. Christina M Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2340 Fairview Blvd Ste 100, Fairview, TN 37062 Phone: 629-205-3108 Fax: 615-446-1357
Ms. Kelly Lea May, RN, BSN, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7610 Whispering Wind Ln, Fairview, TN 37062 Phone: 615-734-9449
Janet Mary Devasia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7518, Spicer Court, Fairview, TN 37062 Phone: 502-807-3904

Kyndall Leigh Petry, - Medicare Nurse Practitioner in Fairview, TN