Kailyn Bowman, MSN, APN, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Powell, TN

NPI 1093556938 · NPPES record last updated May 4, 2026

Key facts

NPI
1093556938
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
36436 (TN)
Practice address
7730 Dannaher Dr
Powell, TN 37849-4039
Phone
(710) 786-5524
NPI assigned
Jun 4, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists PLLC (8 clinicians)

Practice addresses (Care Compare)

7730 Dannaher Dr
Powell, TN 37849-4039
Phone (865) 524-7107

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240812001185 TN Practitioner - Nurse Practitioner 1850839630 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
36436TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists PLLC Current
since Jun 4, 2024
Accepting new patients

Locations

7730 Dannaher Dr
Powell, TN 37849
Phone (865) 524-7107

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36436 TN Yes

Addresses

Primary practice location

7730 Dannaher Dr
Powell, TN 37849-4039

Mailing address

7730 Dannaher Dr
Powell, TN 37849-4039
Phone (865) 524-7107

Other names

  • Kailyn Johnson Former name

Other providers in Powell, TN

All providers in Powell, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.