Individual provider Active NPI

Kaitlyn Casal Wilkinson, PA-C

  • Physician Assistant
  • Cookeville, TN
National Provider Identifier
1457053589
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5457 Issued in TN
Practice address
1080 Neal St Ste 200
Cookeville, TN 38501-0944
Phone
(931) 520-1529
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5457 TN Primary

Addresses

Primary practice location

1080 Neal St Ste 200
Cookeville, TN 38501-0944

Mailing address

1080 Neal St Ste 200
Cookeville, TN 38501-0944
Phone (931) 520-1529

Other practice location 1

4323 Carothers Pkwy Ste 208
Franklin, TN 37067-5916
Phone (615) 778-0010

Other names 1

  • Kaitlyn Casal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250520001978 TN Practitioner - Physician Assistant 3072031343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Group of Franklin PLLCGroup PAC ID 1759360001, 11 clinicians

Practice addresses (Care Compare)

4323 Carothers Pkwy
Suite 208
Franklin, TN 37067-5916
Phone (615) 778-0010

Hospital & facility affiliations

  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5457TNMDPharmacist

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1457053589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 NEAL ST STE 200",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010944",
            "telephone_number": "931-520-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NEAL ST STE 200",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010944",
            "telephone_number": "931-520-1529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4323 Carothers Pkwy Ste 208",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370675916",
            "country_code": "US",
            "telephone_number": "615-778-0010",
            "fax_number": "615-778-0715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "KAITLYN",
        "middle_name": "CASAL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "CASAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.