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

Kassandra Ulbricht

Individual provider Family Nurse Practitioner · NPI 1942061049

Kassandra Ulbricht is a Nurse Practitioner in Powell, Tennessee. Qualified in 2023, 3 years ago. Practices with Summit Medical Group, PLLC, a 636-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2024
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Practice location Address checks out

201 E Emory Rd
Powell, TN 37849-4016
Phone: (865) 938-3627
Fax: (833) 908-2166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 35308 (TN)

Record details

NPI number1942061049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2024
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing address1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Summit Medical Group, Pllc — 636 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Powell