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

  1. Home
  2. Nurse Practitioner
  3. TN
  4. Fairview
Kyndall Leigh Petry, is a medicare enrolled "Nurse Practitioner - Family" in Fairview, Tennessee. 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 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 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 NameKyndall Leigh Petry
GenderFemale
SpecialityNurse Practitioner - Family
Location2340 Fairview Blvd Ste 600d, Fairview, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134875842
  • Provider Enumeration Date: 02/22/2022
  • Last Update Date: 02/07/2024
  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.
IdentifierTypeStateIssuer
1134875842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 31078 (Tennessee)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. Kyndall Leigh Petry allows following entities to bill medicare on her behalf.
Entity NameAdvanced Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677
Entity NamePrivia Medical Group Tennessee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Accepting Medicare Assignments
Practice Location: 2727 Fairview Blvd, Fairview, TN 37062
Phone: 615-799-0101    Fax: 615-799-0202
Stephanie Jane Perry, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2377 Fairview Blvd, Fairview, TN 37062
Phone: 615-799-0101    
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
Edward Elliott Iii Iii, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2340 Fairview Blvd Ste 600d, Fairview, TN 37062
Phone: 615-266-2177    Fax: 615-266-2331

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.