MRS. KATHY LEIGH VAUGHN CRNP
NPI 1265662183
Nurse Practitioner - Family in Boaz, AL

Active since July 27, 2009PECOS EnrolledAccepts Medicare Assignment
1180 SARDIS DR, BOAZ, AL 35956(256) 593-9999(256) 593-9141 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kathy Leigh Vaughn Crnp NPPES

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

MRS. KATHY LEIGH VAUGHN CRNP (NPI 1265662183) is an individual family provider in Boaz, Alabama, licensed in Alabama (1-094408) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1265662183
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHY LEIGH VAUGHNCredential: CRNP
Location Address1180 SARDIS DRBoaz, AL 35956-2139
Mailing AddressPo Box 1049Boaz, AL 35957-2201 · (256) 593-9999 · Fax (256) 593-9141
Fax(256) 593-9141
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 27, 2009
NPI 1265662183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-094408
1180 SARDIS DR, Boaz, AL 35956

Accepted Insurance

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

Mrs. Kathy Leigh Vaughn Crnp 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 ID9931247681
PECOS Enrollment IDI20091117000526
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
64 services63 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35956 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%267 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers61 claims121 services$5.19 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims14 services$0.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$112.84 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$36.12 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers21 claims4,337 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers19 claims19 services$153.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Family Medicine
1180 SARDIS DR
SARDIS CITY, AL 35956
Nurse Practitioner
1180 SARDIS DR
BOAZ, AL 35956
Family Medicine
1180 SARDIS DR
SARDIS CITY, AL 35956
Nurse Practitioner (Adult Health)
1180 SARDIS DR
BOAZ, AL 35956

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Vaughn's NPI number?

The NPI number for Kathy Vaughn is 1265662183. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Kathy Vaughn located?

Kathy Vaughn practices at 1180 Sardis Dr, Boaz, AL 35956. The listed phone number is (256) 593-9999.

What is Kathy Vaughn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathy Vaughn enrolled in Medicare?

Yes. Kathy Vaughn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathy Vaughn accept?

Health plans from Blue Cross and Blue Shield of Alabama list Kathy Vaughn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathy Vaughn was last updated on July 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.