Breanna Kelly Caudill, FNP-C - Medicare Nurse Practitioner in Pennington Gap, VA

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Breanna Kelly Caudill, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Pennington Gap, Virginia. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Western Virginia Regional Emergency Physicians Llc and her current practice location is 127 Health Care Dr, Pennington Gap, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 299-5000.

Breanna Kelly Caudill is licensed to practice in Tennessee (license number 27535) 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 1831716240.

Contact Information

Breanna Kelly Caudill, FNP-C
127 Health Care Dr,
Pennington Gap, VA 24277-2853
(276) 299-5000
Not Available

Map and Direction




Provider's Profile

Full NameBreanna Kelly Caudill
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location127 Health Care Dr, Pennington Gap, Virginia
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:
  • Breanna Kelly Caudill graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1831716240
  • Provider Enumeration Date: 07/01/2020
  • Last Update Date: 12/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870910094
  • Enrollment ID: I20200902000166

Medical Identifiers

Medical identifiers for Breanna Kelly Caudill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831716240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024179089 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 27535 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lonesome Pine HospitalBig stone gap, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Western Virginia Regional Emergency Physicians Llc418399122775

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. Breanna Kelly Caudill allows following entities to bill medicare on her behalf.
Entity NameCassandra Dingus Fnp Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952582256
PECOS PAC ID: 5698677292
Enrollment ID: O20040123000680
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174808216
PECOS PAC ID: 8123291739
Enrollment ID: O20120627000467
Entity NameWps Providers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003904095
PECOS PAC ID: 7719079532
Enrollment ID: O20170227002082
Entity NameWestern Virginia Regional Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386183028
PECOS PAC ID: 4183991227
Enrollment ID: O20170522001368

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. Breanna Kelly Caudill 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
Breanna Kelly Caudill, FNP-C
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 302-6565		Breanna Kelly Caudill, FNP-C
127 Health Care Dr,
Pennington Gap, VA 24277-2853

Ph: (276) 299-5000

Reviews and Comments


Nurse Practitioner Nurses in Pennington Gap, VA

Gabrille Elaine Hamilton, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 127 Health Care Dr, Suite 8, Pennington Gap, VA 24277
Phone: 276-546-5212    Fax: 276-546-1525
Mrs. Barbara S Mullins, RN FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1119 Lake St, Pennington Gap, VA 24277
Phone: 276-546-1182    Fax: 276-546-5289
Mary Gehring Hayes, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Combs Rd, Pennington Gap, VA 24277
Phone: 276-546-1440    
Mrs. Mona Speak, DNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 127 Health Care Dr, Pennington Gap, VA 24277
Phone: 276-546-5212    Fax: 423-390-6820
Karen Renee Robinette, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 208 Health Care Dr, Pennington Gap, VA 24277
Phone: 423-573-1502    
Maryann Collins, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 185 Redwood Ave, Suite 102, Pennington Gap, VA 24277
Phone: 276-546-5310    
Lisa K Deeds, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 185 Redwood Ave, Suite 102, Pennington Gap, VA 24277
Phone: 276-546-5310    Fax: 276-546-3440

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.