Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Grace Kinskey, PA

Individual provider Surgical Physician Assistant · NPI 1104401389

Carolyn Grace Kinskey, PA is a Physician Assistant in Nashville, Tennessee. Qualified in 2021, 5 years ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Tennessee.

Years since qualifying
5
Licensed in
IL, TN
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-1700
Phone: (615) 322-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2650 Ridge Ave, Evanston, IL 60201-1700 — (847) 570-2560

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5159 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085008435 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104401389
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 10, 2021
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

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