Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kaitlyn Ruthann Blankenbeckler, FNP

Individual provider Family Nurse Practitioner · NPI 1295447910

Kaitlyn Ruthann Blankenbeckler, FNP is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2022, 4 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

416 Rolling Dr
Kingsport, TN 37660-6767
Phone: (423) 502-3072
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Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 32782 (TN)

Record details

NPI number1295447910
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 14, 2022
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients93
Services billed 95 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Lee County Community Hospital Hospital · Pennington Gap, VA · listed as Lee County Hospital Authority
  • Lonesome Pine Hospital Hospital · Big Stone Gap, VA · listed as Wellmont Lonesome Pine Hospital
  • Indian Path Community Hospital Hospital · Kingsport, TN
  • Wellmont Bristol Regional Medical Center Hospital · Bristol, TN
  • Wellmont Holston Valley Medical Center Hospital · Kingsport, TN

Colleagues at Southeastern Physician Services PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 598 clinicians in the practice; 12 are shown here.

Other providers in Kingsport