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Kalynn Camacho

NPI 1174307441ActiveIndividual· Physician Assistant· Mount Juliet, TN

Physician Assistant with The Little Clinic of Tennessee LLC, practicing in Mount Juliet, Tennessee. In 2024 Medicare paid $12,401 for 94 patients, and Part D covered 77 of their prescriptions, 87% of them generic.

Overview

NPI1174307441
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 18, 2023
Last updated in NPPESDec 21, 2023
Certified by providerDec 21, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X5775TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (TN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients94
Services billed277 across 24 procedure codes
Paid by Medicare$12,401

Part D prescriptions in 2024

Prescriptions (claims)77 · 78 30-day fills
Patients57
Total drug cost$2,666
Generic share87% of claims

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Mount Juliet

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