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

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: July 26, 2026.

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

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
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

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

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

Hospital Affiliations CMS Care Compare 2

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

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
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

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 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.

Where is Landon Prince located?

Landon Prince practices at 10415 Wallace Alley St, Kingsport, TN 37663. The listed phone number is (234) 390-0451.

What is Landon Prince's specialty?

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

Is Landon Prince enrolled in Medicare?

Yes. Landon Prince 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.

Is Landon Prince affiliated with any hospitals?

According to CMS data, Landon Prince is affiliated with Greeneville Community Hospital and Johnson City Medical Center.

When was this NPI record last updated?

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