Individual provider Active NPI

Karlie Wampler, FNP-BC

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1093406571
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187360 Issued in VA
Practice address
248 Fletcher Ave
Kingsport, TN 37665-1124
Phone
(423) 765-5939
NPI assigned
May 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023036046 TN
Family Nurse Practitioner 363LF0000X 0024187360 VA Primary

Addresses

Primary practice location

248 Fletcher Ave
Kingsport, TN 37665-1124

Mailing address

248 Fletcher Ave
Kingsport, TN 37665-1124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231031003589 VA Practitioner - Nurse Practitioner 1355797085 Reassigns benefits to 6 organizations
I20240130001520 TN Practitioner - Nurse Practitioner 1355797085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus Premier Healthcare LLCGroup PAC ID 6305381013, 105 clinicians
Eventus WH Mid-Atlantic Care LLCGroup PAC ID 8921534744, 89 clinicians

Practice addresses (Care Compare)

250 Browns Hill CT
Midlothian, VA 23114-9510
Phone (855) 743-2247

4701 Cox Rd
Suite 285
Glen Allen, VA 23060-6808
Phone (855) 743-2247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023036046TNMDFamily Nurse Practitioner
0024187360VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Dec 23, 2023 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Dec 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Aug 13, 2023 Accepting new patients
Eventus WH Mid-Atlantic, LLC CurrentSince Oct 1, 2025 Accepting new patients
Post Acute Consultants of Virginia, PC CurrentSince Mar 1, 2024 Accepting new patients
Eventus WH Mid-Atlantic Care LLC CurrentSince Oct 1, 2025 Accepting new patients
Eventus Premier Healthcare LLC CurrentSince Feb 1, 2025 Accepting new patients
Pac of Tennessee PC Past Accepting new patients

Locations

618 Broad St
Bristol, TN 37620

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

2045 Valley View Dr
Big Stone Gap, VA 24219
Phone (276) 523-3000

4701 Cox Rd
Ste 285
Glen Allen, VA 23060
Phone (540) 255-3881

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1093406571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 FLETCHER AVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376651124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 FLETCHER AVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376651124",
            "telephone_number": "423-765-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMPLER",
        "first_name": "KARLIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "2023036046",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.