KYLIE MANGRUM APRN
NPI 1962279984
Nurse Practitioner in Dickson, TN

Active since December 11, 2023PECOS EnrolledAccepts Medicare Assignment
222 STATE ST, DICKSON, TN 37055(615) 879-3582(615) 827-0273 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Apr 18, 2024, Dec 11, 2023 (3 updates tracked since 2023).

About Kylie Mangrum Aprn NPPES

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

KYLIE MANGRUM APRN (NPI 1962279984) is an individual nurse practitioner in Dickson, Tennessee, licensed in Tennessee (34932) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dickson, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962279984
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKYLIE MANGRUMCredential: APRN
Location Address222 STATE STDickson, TN 37055-2082
Mailing Address222 State StDickson, TN 37055-2082 · (615) 879-3582 · Fax (615) 827-0273
Fax(615) 827-0273
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 11, 2023
Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
NPI 1962279984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TN · 34932
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
222 STATE ST, Dickson, TN 37055

Other Names 1

Former Name (1)Kylie Stewart

Secondary Practice Location 1

Location 1111 Highway 70 EDickson, TN 37055-2080 · Phone (615) 446-0446

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

Kylie Mangrum Aprn 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 ID9335588060
PECOS Enrollment IDI20240415002280
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 2

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.

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.
48 services48 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.
27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37055 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 4

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

Nurse Practitioner
222 STATE ST
DICKSON, TN 37055
Nurse Practitioner (Family)
222 STATE ST
DICKSON, TN 37055
Registered Nurse (Administrator)
222 STATE ST
DICKSON, TN 37055
Registered Nurse (Case Management)
222 STATE ST
DICKSON, TN 37055

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 Kylie Mangrum's NPI number?

The NPI number for Kylie Mangrum is 1962279984. It was assigned to this individual provider in the NPPES registry on December 11, 2023. The provider is also known as Kylie Stewart.

Where is Kylie Mangrum located?

Kylie Mangrum practices at 222 State St, Dickson, TN 37055. The listed phone number is (615) 879-3582.

What is Kylie Mangrum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kylie Mangrum enrolled in Medicare?

Yes. Kylie Mangrum 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 Kylie Mangrum accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and UnitedHealthcare list Kylie Mangrum 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 Kylie Mangrum was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.