LANDON PRINCE CRNA
NPI 1306507819
Nurse Anesthetist, Certified Registered in Kingsport, TN

Q: What is Landon Prince's NPI number?

The NPI number for Landon Prince is 1306507819. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Q: What is Landon Prince's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Landon Prince was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since January 06, 2022Accepts Medicare Assignment

10415 WALLACE ALLEY ST, KINGSPORT, TN 37663(234) 390-0451 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2025, Jan 11, 2022, Jan 6, 2022 (3 updates tracked since 2022).

On this page

About Landon Prince Crna NPPES

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

LANDON PRINCE CRNA (NPI 1306507819) is an individual nurse anesthetist, certified registered in Kingsport, Tennessee, licensed in Tennessee (31005) and active in the NPI registry since January 2022. He is affiliated with Greeneville Community Hospital and is a graduate of Virginia Commonwealth University, School Of Medicine (2021).

NPPES Registry Identity

NPI1306507819

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameLANDON PRINCECredential: CRNA

Location Address10415 WALLACE ALLEY STKingsport, TN 37663-3936

Mailing Address10415 Wallace Alley StKingsport, TN 37663-3936 · (234) 390-0451

Phone(234) 390-0451

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2021

Enumeration DateJanuary 6, 2022

Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1306507819 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 · 31005

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 0000223291 (TN)

10415 WALLACE ALLEY ST, Kingsport, TN 37663

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Landon Prince Crna 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 ID1850783812

PECOS Enrollment IDI20220125001034

Medicare Billing Reassignment

Medicare enrollment records show Landon Prince reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Paragon Anesthesia PC

Same address

Anesthesiology

10415 WALLACE ALLEY ST
Kingsport, TN 37663

Reassigned Medicare billing, Tennessee enrollment
294 clinicians in this Medicare group

NPI 1538174974 (423) 390-0451

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440050

Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene 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.

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