KAITLYN ANNE AVERETT FNPC
NPI 1780143297
Nurse Practitioner - Family in Waynesboro, TN

Active since March 14, 2019PECOS EnrolledAccepts Medicare Assignment
107 JV MANGUBAT DR, WAYNESBORO, TN 38485(931) 722-2800(931) 722-9627 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2021, Mar 14, 2019 (2 updates tracked since 2019).

About Kaitlyn Anne Averett Fnpc NPPES

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

KAITLYN ANNE AVERETT FNPC (NPI 1780143297) is an individual family provider in Waynesboro, Tennessee, licensed in Tennessee (25512) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780143297
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN ANNE AVERETTCredential: FNPC
Location Address107 JV MANGUBAT DRWaynesboro, TN 38485-2440
Mailing AddressPo Box 689Waynesboro, TN 38485-0689 · (931) 722-2800 · Fax (931) 722-9627
Fax(931) 722-9627
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 14, 2019
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
NPI 1780143297 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
License Licensed in TN · 25512
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APN25512 (TN)
107 JV MANGUBAT DR, Waynesboro, TN 38485

Other Names 1

Former Name (1)Kaitlyn Anne Kelly Apn

Accepted Insurance

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

Kaitlyn Anne Averett Fnpc 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 ID1759616311
PECOS Enrollment IDI20190718001740
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 38485 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers35 claims35 services$17.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers41 claims41 services$99.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Pharmacist
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Nurse Practitioner
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Pharmacy (Community/Retail Pharmacy)
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Nurse Practitioner (Family)
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Nurse Practitioner (Family)
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Family Medicine
107 JV MANGUBAT DR
WAYNESBORO, TN 38485

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 Kaitlyn Averett's NPI number?

The NPI number for Kaitlyn Averett is 1780143297. It was assigned to this individual provider in the NPPES registry on March 14, 2019. The provider is also known as Kaitlyn Anne Kelly Apn.

Where is Kaitlyn Averett located?

Kaitlyn Averett practices at 107 Jv Mangubat Dr, Waynesboro, TN 38485. The listed phone number is (931) 722-2800.

What is Kaitlyn Averett's specialty?

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

Is Kaitlyn Averett enrolled in Medicare?

Yes. Kaitlyn Averett 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.

What insurance does Kaitlyn Averett accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Kaitlyn Averett 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 Kaitlyn Averett was last updated on February 4, 2021. 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.