Kaitlyn Amanda Bennorth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

200 Cool Springs Blvd
Franklin, TN 37067-2677

Phone

(615) 771-7546

NPI assigned

Aug 17, 2020

Last updated

Jan 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

University of South Alabama College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Solutions Dermatology and Skin Cancer Surgery, P.C.Group PAC ID 8820064140, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.77 of 100Reported as group

Quality

85.91

Promoting interoperability

96

Improvement activities

40

Cost

46.66

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

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

• Skin Solutions Dermatology & Skin Cancer Surgery, P.C.

  • Specialist
  • Franklin, TN
  • NPI 1215940366
  Medicare reassignment Care Compare group
• Stratum Health Collective PLLC

  • Integrative Medicine Physician
  • Brentwood, TN
  • NPI 1740121516

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1730790346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PLOUGHMANS BEND DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644259",
            "telephone_number": "615-428-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COOL SPRINGS BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672677",
            "telephone_number": "615-771-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Ploughmans Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370644259",
            "country_code": "US",
            "telephone_number": "615-428-6123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNORTH",
        "first_name": "KAITLYN",
        "middle_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Bender
• Steven Bengelsdorf, M.D.
• Mona E Bennett, PH.D., HSP
• Stephen Robert Bennett, DMD
• Kelly Shaffer Bennie, M.D.
• Michele Benoit, D.C.
• Catherine Runyan Benson, AGACNP-BC
• Marisa Bentheimer
• Henry Benton
• Jessica E. Berenguer, PH.D.

• Physician Assistant in Franklin, TN
• Providers in Franklin, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.