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KATIE E VANCE PA
NPI 1861831869
Physician Assistant in Dyer, TN

Active since June 24, 2013PECOS Enrolled
1123 N MAIN ST, DYER, TN 38330(731) 692-2853(731) 692-2367 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie E Vance Pa NPPES

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

KATIE E VANCE PA (NPI 1861831869) is an individual physician assistant in Dyer, Tennessee, licensed in Tennessee (2351) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861831869
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE E VANCECredential: PA
Location Address1123 N MAIN STDyer, TN 38330-1019
Mailing Address1123 N Main StDyer, TN 38330-1019 · (731) 692-2853 · Fax (731) 692-2367
Phone(731) 692-2853
Fax(731) 692-2367
Sole ProprietorYes
Enumeration DateJune 24, 2013
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1861831869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 2351
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1123 N MAIN ST, Dyer, TN 38330
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Secondary Practice Locations 2

Location 1620 Skyline DrJackson, TN 38301-3923 · Phone (731) 541-3570
Location 22062 Pleasant Plains Ext Rd Ste EJackson, TN 38305-6008 · Phone (731) 664-2273 · Fax (731) 300-7405

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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)

Katie E Vance Pa 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 38330 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%548 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
27%230 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%178 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%521 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
81%27 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%178 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers24 claims24 services$35.01 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 9

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

LISA SCHWEICH FNP
Nurse Practitioner (Family)
1123 N MAIN ST
DYER, TN 38330
Gibson County (731) 692-2853
JAMIE BURRUS FNP-C
Nurse Practitioner (Family)
1123 N MAIN ST
DYER, TN 38330
Gibson County (731) 692-2853
JENNA LEE DUBRUIEL PA
Physician Assistant
1123 N MAIN ST
DYER, TN 38330
Gibson County (731) 692-2853
TTRN MEDICAL SERVICES PLLC
Nurse Practitioner (Family)
1123 N MAIN ST
DYER, TN 38330
Gibson County (731) 692-2853
LEITHERLAND FAMILY CARE CLINIC, PLLC
Clinic/Center (Primary Care)
1123 N MAIN ST
DYER, TN 38330
Gibson County (731) 692-2853
KAREN R EMISON FNP
Nurse Practitioner (Family)
1123 N MAIN ST
DYER, TN 38330
Gibson County (731) 692-2853
JANNA MARTENIE WILLER
Nurse Practitioner (Family)
1123 N MAIN ST
DYER, TN 38330
Gibson County (731) 692-2853
EDNA R LEITHERLAND FNP APN
Nurse Practitioner
1123 N MAIN ST
DYER, TN 38330
Gibson County (731) 692-2853

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 Katie Vance's NPI number?

The NPI number for Katie Vance is 1861831869. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Katie Vance located?

Katie Vance practices at 1123 N Main St, Dyer, TN 38330. The listed phone number is (731) 692-2853.

What is Katie Vance's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katie Vance enrolled in Medicare?

Yes. Katie Vance is registered in the Medicare PECOS enrollment system.

What insurance does Katie Vance accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Katie Vance 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 Katie Vance was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.