Kaitlyn Ruthann Blankenbeckler, FNP
NPI 1295447910ActiveIndividual· Nurse Practitioner, Family· Kingsport, TN
Nurse Practitioner, Family (FNP) with Southeastern Physician Services PC, practicing in Kingsport, Tennessee. Medicare paid $9,628 for services to 93 patients in 2024. Lists Indian Path Community Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1295447910 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Dec 14, 2022 |
| Last updated in NPPES | Dec 14, 2022 |
| Certified by provider | Dec 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 32782 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 95 across 2 procedure codes |
| Paid by Medicare | $9,628 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Southeastern Physician Services PCSaint Peters, MO · 593 clinicians
Hospital affiliations
- Indian Path Community HospitalKingsport, TN
- Lee County Community HospitalPennington Gap, VA
- Lonesome Pine HospitalBig Stone Gap, VA
- Wellmont Bristol Regional Medical CenterBristol, TN
- Wellmont Holston Valley Medical CenterKingsport, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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