MRS. KIEONNA WADLINGTON AGPCNP-C
NPI 1336707959
Nurse Practitioner - Gerontology in Fort Campbell, KY
About Mrs. Kieonna Wadlington Agpcnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIEONNA WADLINGTON AGPCNP-C (NPI 1336707959) is an individual gerontology provider in Fort Campbell, Kentucky, licensed in Kentucky (3014638) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mrs. Kieonna Wadlington Agpcnp-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.
Medicare Billing Reassignments
3Medicare enrollment records show Kieonna Wadlington reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nashville, TN 37203
- Reassigned Medicare billing, Kentucky enrollment
- 14 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Tennessee enrollment
- 137 clinicians in this Medicare group
Louisville, KY 40299
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: Vitae Health Medical Kentucky, LLC
- 68 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
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 Kieonna Wadlington's NPI number?
The NPI number for Kieonna Wadlington is 1336707959. It was assigned to this individual provider in the NPPES registry on May 29, 2019.
Where is Kieonna Wadlington located?
Kieonna Wadlington practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (623) 533-1495.
What is Kieonna Wadlington's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kieonna Wadlington enrolled in Medicare?
Yes. Kieonna Wadlington 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.
Which organizations bill Medicare for Kieonna Wadlington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kieonna Wadlington reassigns Medicare benefits to 3 organizations: Concertocare Medical Group Of Tennessee, PC (Nashville, TN), Iris Medical Group (Brentwood, TN) and Telos Health Systems Ky LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kieonna Wadlington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kieonna Wadlington accept?
Health plans from CareSource, CareSource (Common Ground Healthcare) and Oscar Insurance Company list Kieonna Wadlington 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 Kieonna Wadlington was last updated on November 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Kieonna Wadlington, AGPCNP-C · NPI 1336707959
Gerontology physician in Fort Campbell, Kentucky. Individual provider, active in the CMS NPPES registry since May 29, 2019.
## Identity
- **NPI:** 1336707959 (Entity type: Individual)
- **Enumerated:** May 29, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 3014638 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 650 JOEL DR, Fort Campbell, KY 42223-5318
- **Phone:** (623) 533-1495
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Concertocare Medical Group Of Tennessee, PC (NPI 1780423863, Nashville, TN); Iris Medical Group (NPI 1851025902, Brentwood, TN); Telos Health Systems Ky LLC (NPI 1629600879, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** November 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1336707959) · Data from the CMS NPPES public registry.