Kaitlyn Averitt Tyndall, FNP-C - Medicare Nurse Practitioner in Clinton, NC

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Kaitlyn Averitt Tyndall, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Clinton, North Carolina. Her current practice location is 906 N Us 421 Hwy, Clinton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 592-1462.

Kaitlyn Averitt Tyndall is licensed to practice in North Carolina (license number 5018241) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700560653.

Contact Information

Kaitlyn Averitt Tyndall, FNP-C
906 N Us 421 Hwy,
Clinton, NC 28328-0410
(910) 592-1462
Not Available

Map and Direction




Provider's Profile

Full NameKaitlyn Averitt Tyndall
GenderFemale
SpecialityNurse Practitioner - Family
Location906 N Us 421 Hwy, Clinton, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700560653
  • Provider Enumeration Date: 06/12/2023
  • Last Update Date: 06/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082075395
  • Enrollment ID: I20230803000627

Medical Identifiers

Medical identifiers for Kaitlyn Averitt Tyndall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700560653NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5018241 (North Carolina)Primary

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. Kaitlyn Averitt Tyndall allows following entities to bill medicare on her behalf.
Entity NameGoshen Medical Center Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023424686
PECOS PAC ID: 3173434479
Enrollment ID: O20040102000726

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. Kaitlyn Averitt Tyndall 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
Kaitlyn Averitt Tyndall, FNP-C
44 Laudie Honeycutt Rd,
Clinton, NC 28328-0203

Ph: (910) 214-6839		Kaitlyn Averitt Tyndall, FNP-C
906 N Us 421 Hwy,
Clinton, NC 28328-0410

Ph: (910) 592-1462

Reviews and Comments


Nurse Practitioner Nurses in Clinton, NC

Hayley Brott, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 403 Fairview St, Clinton, NC 28328
Phone: 910-590-6011    
Jeffrey Wayne Autry, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1004 Beamon St., Clinton, NC 28328
Phone: 910-592-9113    Fax: 910-590-0050
Sharry Jackson Malpass, DNP, NP-C, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 403 Fairview St, Clinton, NC 28328
Phone: 910-592-6011    Fax: 910-592-0811
Jill Anne Breton, CNM, WHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 360 County Complex Rd Ste 200, Clinton, NC 28328
Phone: 910-592-1131    Fax: 910-592-4724
Jamie Alysse Weiner, DNP, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 403 Fairview St, Clinton, NC 28328
Phone: 910-592-6011    
Mrs. Lauren Elaine Aves, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 403 Fairview St, Clinton, NC 28328
Phone: 910-592-6011    Fax: 910-592-0811
Jennifer Danks, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1845 Keener Rd, Clinton, NC 28328
Phone: 910-990-0106    

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.