BREANNA KELLY CAUDILL FNP-C
NPI 1831716240
Nurse Practitioner - Family in Pennington Gap, VA

Active since July 01, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
127 HEALTH CARE DR, PENNINGTON GAP, VA 24277(276) 299-5000 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2023, Aug 30, 2023, Dec 31, 2020 and 1 more (4 updates tracked since 2020).

About Breanna Kelly Caudill Fnp-c NPPES

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

BREANNA KELLY CAUDILL FNP-C (NPI 1831716240) is an individual family provider in Pennington Gap, Virginia, licensed in Tennessee (27535) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Lonesome Pine Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1831716240
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREANNA KELLY CAUDILLCredential: FNP-C
Location Address127 HEALTH CARE DRPennington Gap, VA 24277-2853
Mailing Address127 Health Care DrPennington Gap, VA 24277-2853
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 1, 2020
Last NPPES UpdateFebruary 18, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
NPI 1831716240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TN · 27535 Licensed in VA · 0024179089
127 HEALTH CARE DR, Pennington Gap, VA 24277

Secondary Practice Locations 3

Location 11990 Holton Ave EBig Stone Gap, VA 24219-3350 · Phone (276) 523-3111
Location 2205 E 19th St NBig Stone Gap, VA 24219-3468 · Phone (276) 524-4920
Location 31116 Highway 11 WChurch Hill, TN 37645 · Phone (423) 226-5109 · Fax (423) 226-5150

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

Breanna Kelly Caudill Fnp-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.

PECOS PAC ID3870910094
PECOS Enrollment IDI20200902000166
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.

Areas of Expertise CMS Part B claims 5

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
39 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services18 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Lee County Community Hospital

Critical Access Hospitals · Pennington Gap, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491309
Location127 Health Care DrivePennington Gap, VA 24277 · Lee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24277 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.58
Improvement Activities40
Cost85.55

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner
127 HEALTH CARE DR, SUITE 8
PENNINGTON GAP, VA 24277
Nurse Practitioner (Family)
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
General Acute Care Hospital (Critical Access)
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
Hospitalist
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
Emergency Medicine
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
Nurse Practitioner (Family)
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
Rehabilitation Unit
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
Internal Medicine
127 HEALTH CARE DR, SUITE 8
PENNINGTON GAP, VA 24277

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 Breanna Caudill's NPI number?

The NPI number for Breanna Caudill is 1831716240. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Where is Breanna Caudill located?

Breanna Caudill practices at 127 Health Care Dr, Pennington Gap, VA 24277. The listed phone number is (276) 299-5000.

What is Breanna Caudill's specialty?

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

Is Breanna Caudill enrolled in Medicare?

Yes. Breanna Caudill 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 Breanna Caudill accept?

Health plans from Oscar Insurance Company list Breanna Caudill 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.

Is Breanna Caudill affiliated with any hospitals?

According to CMS data, Breanna Caudill is affiliated with Lonesome Pine Hospital and Lee County Community Hospital.

When was this NPI record last updated?

The NPPES record for Breanna Caudill was last updated on February 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.