KATIE E PERDUE
NPI 1093412611
Nurse Anesthetist, Certified Registered in Kingsport, TN

Active since February 14, 2023Accepts Medicare Assignment
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663(423) 390-0451 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2025, Feb 14, 2023 (2 updates tracked since 2023).

About Katie E Perdue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE E PERDUE (NPI 1093412611) is an individual nurse anesthetist, certified registered in Kingsport, Tennessee, licensed in Tennessee (38081) and active in the NPI registry since February 2023. She is affiliated with Johnson City Medical Center, maintains a secondary practice location in Piney Flats, and is a graduate of Virginia Commonwealth University, School Of Medicine (2024).

NPPES Registry Identity

NPI1093412611
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKATIE E PERDUE
Location Address10415 WALLACE ALLEY STKingsport, TN 37663-3936
Mailing Address1197 Addison CtPiney Flats, TN 37686-2509
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2024
Enumeration DateFebruary 14, 2023
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1093412611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TN · 38081
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 231088 (TN)
10415 WALLACE ALLEY ST, Kingsport, TN 37663

Secondary Practice Location 1

Location 11197 Addison CtPiney Flats, TN 37686-2509 · Phone (229) 854-5783

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katie E Perdue is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830619261
PECOS Enrollment IDI20250227003763

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37663 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Anesthesiology
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Anesthesiology
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Anesthesiology
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093412611, enumerated as an "individual" on February 14, 2023.

The provider is located at 10415 WALLACE ALLEY ST KINGSPORT, TN 37663 and the phone number is (423) 390-0451.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Katie Perdue is affiliated with: JOHNSON CITY MEDICAL CENTER.