KENNETH S BURNETTE NP
NPI 1760848204
Nurse Practitioner - Family in Johnson City, TN

Q: What is Kenneth Burnette's NPI number?

The NPI number for Kenneth Burnette is 1760848204. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Q: What is Kenneth Burnette's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Burnette was last updated on February 19, 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 14, 2016PECOS Enrolled

2320 KNOB CREEK RD STE 404, JOHNSON CITY, TN 37604(423) 661-7445(423) 224-3709 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2025, May 19, 2020, Feb 19, 2016 and 2 more (5 updates tracked since 2016).

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About Kenneth S Burnette Np NPPES

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

KENNETH S BURNETTE NP (NPI 1760848204) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (20898) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760848204

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKENNETH S BURNETTECredential: NP

Location Address2320 KNOB CREEK RD STE 404Johnson City, TN 37604-2581

Mailing Address509 Med Tech Pkwy Ste 100Johnson City, TN 37604-2579 · (423) 952-2111 · Fax (423) 952-2175

Phone(423) 661-7445

Fax(423) 224-3709

Sole ProprietorNo

Enumeration DateJanuary 14, 2016

Last NPPES UpdateFebruary 19, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1760848204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TN · 20898✔ Licensed in VA · 0024173331✔ Licensed in IN · 71014917A✔ Licensed in NC · 5017076✔ Licensed in OH · APRN.CNP.0035716✔ Licensed in IL · 209.030704✔ Licensed in MO · 2024004887

Also ListedRegistered NurseTaxonomy 163W00000X · License 198628 (TN), 41.564483 (IL)

2320 KNOB CREEK RD STE 404, Johnson City, TN 37604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth S Burnette Np 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.

Medicare Billing Reassignments

Medicare enrollment records show Kenneth Burnette reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmont Medical Associates, Inc.

0.4 mi

Psychiatry

701 MED TECH PKWY STE 200
Johnson City, TN 37604

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

NPI 1275393522 (423) 302-3480

Tri-Cities Regional Emergency Physicians, PC

2.2 mi

Emergency Medicine

400 N STATE OF FRANKLIN RD
Johnson City, TN 37604

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

NPI 1063950046 (423) 431-6111

Western Virginia Regional Emergency Physicians, LLC

43 mi

Emergency Medicine

100 15TH ST NW
Norton, VA 24273

Reassigned Medicare billing, Virginia enrollment
207 clinicians in this Medicare group

NPI 1386183028 (276) 439-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNSON CITY GROUP HEALTH, LLC

Clinic/Center (Primary Care)

2320 KNOB CREEK RD STE 404
JOHNSON CITY, TN 37604

Washington County (281) 429-8526

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 Kenneth Burnette's NPI number?

The NPI number for Kenneth Burnette is 1760848204. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Where is Kenneth Burnette located?

Kenneth Burnette practices at 2320 Knob Creek Rd Ste 404, Johnson City, TN 37604. The listed phone number is (423) 661-7445.

What is Kenneth Burnette's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kenneth Burnette enrolled in Medicare?

Yes. Kenneth Burnette is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Burnette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Burnette reassigns Medicare benefits to 3 organizations: Wellmont Medical Associates, Inc. (Johnson City, TN), Tri-Cities Regional Emergency Physicians, PC (Johnson City, TN) and Western Virginia Regional Emergency Physicians, LLC (Norton, VA). 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 Kenneth Burnette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Burnette accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of NC list Kenneth Burnette 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 Kenneth Burnette was last updated on February 19, 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.