Mrs Beverly Jane Waddell, ANP, GCNS - Medicare Nurse Practitioner in Kingsport, TN

Mrs Beverly Jane Waddell, ANP, GCNS is a medicare enrolled "Nurse Practitioner - Adult Health" in Kingsport, Tennessee. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holston Medical Group Pc, Holston Medical Group Pc and her current practice location is 105 W Stone Dr, Ste 5c, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 378-7645.

Mrs Beverly Jane Waddell is licensed to practice in Tennessee (license number APN13413) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811161813.

Contact Information

Mrs Beverly Jane Waddell, ANP, GCNS
105 W Stone Dr, Ste 5c,
Kingsport, TN 37660-3365
(423) 378-7645
(423) 392-3863



Provider's Profile

Full NameMrs Beverly Jane Waddell
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location105 W Stone Dr, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Beverly Jane Waddell graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1811161813
  • Provider Enumeration Date: 04/22/2008
  • Last Update Date: 11/18/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8820161706
  • Enrollment ID: I20080725000272

Medical Identifiers

Medical identifiers for Mrs Beverly Jane Waddell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811161813NPI-NPPES
1510164MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SG0600XClinical Nurse Specialist - Gerontology 13413 (Tennessee)Secondary
163W00000XRegistered Nurse RN129155 (Tennessee)Secondary
363LA2200XNurse Practitioner - Adult Health APN13413 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advanced Home Care IncKingsport, TNHome health agency
Indian Path Community HospitalKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holston Medical Group Pc8224935754221
Holston Medical Group Pc8224935754221

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Beverly Jane Waddell allows following entities to bill medicare on her behalf.
Entity NameHolston Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831110667
PECOS PAC ID: 8224935754
Enrollment ID: O20031216000416

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Beverly Jane Waddell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Beverly Jane Waddell, ANP, GCNS
Po Box 9,
Kingsport, TN 37662-0009

Ph: (423) 857-2066
Mrs Beverly Jane Waddell, ANP, GCNS
105 W Stone Dr, Ste 5c,
Kingsport, TN 37660-3365

Ph: (423) 378-7645

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Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3136 Winesap Rd, Kingsport, TN 37663
Phone: 423-726-2077    
Lauren Ashley Ernst, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1041 E Sullivan St, Kingsport, TN 37660
Phone: 423-279-2777    
Kelly A Cox, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660
Phone: 423-230-5000    Fax: 423-230-5613
Sherry Lynn Goode, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-3628    Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663
Phone: 423-239-7300    
Mrs. Amanda Susan Burns, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660
Phone: --    
Mary Renee Mcnees, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660
Phone: 423-765-9655    Fax: 423-979-6333

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