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

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: August 02, 2026.

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

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 Blue Cross and Blue Shield of NC.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)

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.

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.

What insurance does Kenneth Burnette accept?

Health plans from 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 17 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.