KATIESCARLETT ENNIS PA-C
NPI 1306714258
Physician Assistant - Surgical in Nashville, TN

Q: What is Katiescarlett Ennis's NPI number?

The NPI number for Katiescarlett Ennis is 1306714258. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Q: What is Katiescarlett Ennis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since October 23, 2025PECOS EnrolledAccepts Medicare Assignment

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Nov 11, 2025 (2 updates tracked since 2025).

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About Katiescarlett Ennis Pa-c NPPES

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

KATIESCARLETT ENNIS PA-C (NPI 1306714258) is an individual surgical provider in Nashville, Tennessee, licensed in Tennessee (6800) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306714258

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKATIESCARLETT ENNISCredential: PA-C

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0001

Mailing Address3841 Green Hills Village DrNashville, TN 37215-2691 · (615) 322-6842

Phone(615) 322-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 23, 2025

Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1306714258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TN · 6800

Also ListedPhysician AssistantTaxonomy 363A00000X · License 6800 (TN)

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Secondary Practice Locations 2

Location 11210 Medical Center DrNashville, TN 37232-0008 · Phone (615) 936-3759

Location 2719 Thompson LnNashville, TN 37204-3609 · Phone (615) 322-2350

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

Katiescarlett Ennis Pa-c 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 ID2769974401

PECOS Enrollment IDI20251120003108

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.

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

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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.

DR. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)