MRS. CAITLEN M PETSCHKE PA-C
NPI 1558669986
Physician Assistant - Medical in Johnson City, TN

Q: What is Caitlen Petschke's NPI number?

The NPI number for Caitlen Petschke is 1558669986. It was assigned to this individual provider in the NPPES registry on March 9, 2011.

Q: What is Caitlen Petschke's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Caitlen Petschke was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 09, 2011PECOS Enrolled

101 MED TECH PKWY, STE. 405, JOHNSON CITY, TN 37604(423) 929-2452(423) 929-2531 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Caitlen M Petschke Pa-c NPPES

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

MRS. CAITLEN M PETSCHKE PA-C (NPI 1558669986) is an individual medical provider in Johnson City, Tennessee, licensed in Tennessee (2275) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558669986

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. CAITLEN M PETSCHKECredential: PA-C

Location Address101 MED TECH PKWY, STE. 405Johnson City, TN 37604-4007

Mailing Address101 Med Tech Pkwy, Ste. 405Johnson City, TN 37604-4007 · (423) 929-2452 · Fax (423) 929-2531

Phone(423) 929-2452

Fax(423) 929-2531

Sole ProprietorNo

Enumeration DateMarch 9, 2011

Last NPPES UpdateAugust 15, 2013

✔ NPI 1558669986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

Licenses✔ Licensed in TN · 2275✔ Licensed in LA · PA200351

101 MED TECH PKWY, Johnson City, TN 37604

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Other Identifiers 1

Medicaid2158848LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Caitlen M Petschke Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JOSE VILLANUEVA PT

Physical Medicine & Rehabilitation

101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604

Washington County (423) 232-6120

MOUNTAIN STATES HEALTH ALLIANCE

Home Infusion

101 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 37604

Washington County (423) 431-4601

JOSEPH C NANNEY PA

Physician Assistant

101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604

Washington County (423) 926-6266

HOLLY RENEE BROADWATER FNP

Nurse Practitioner (Family)

101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604

Washington County (423) 232-6120

DR. SHANE M ADAMS MD

Family Medicine

101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604

Washington County (423) 926-6266

DR. FERNANDO BENDFELDT M.D.

Psychiatry & Neurology (Psychiatry)

101 MED TECH PKWY, STE 407
JOHNSON CITY, TN 37604

Washington County (423) 283-8801

SAMEH WARD M.D.

Pain Medicine (Interventional Pain Medicine)

101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604

Washington County (423) 232-6120

PREMIER PEDIATRICS, LLC

Pediatrics

101 MED TECH PKWY, SUITE 405
JOHNSON CITY, TN 37604

Washington County (423) 929-2454

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 Caitlen Petschke's NPI number?

The NPI number for Caitlen Petschke is 1558669986. It was assigned to this individual provider in the NPPES registry on March 9, 2011.

Where is Caitlen Petschke located?

Caitlen Petschke practices at 101 Med Tech Pkwy Ste. 405, Johnson City, TN 37604. The listed phone number is (423) 929-2452.

What is Caitlen Petschke's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Caitlen Petschke enrolled in Medicare?

Yes. Caitlen Petschke is registered in the Medicare PECOS enrollment system.

What insurance does Caitlen Petschke accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Caitlen Petschke 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 Caitlen Petschke was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.