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

Katelyn Danielle Wackenhut, PA-C

Individual provider Emergency Medicine Physician · NPI 1558728626

Katelyn Danielle Wackenhut, PA-C is a Physician Assistant in Nashville, Tennessee. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Tennessee and Virginia.

Years since qualifying
11
Licensed in
TN, VA
In the registry since
2016
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-6035
Phone: (615) 322-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 205 Marengo St, Florence, AL 35630-6033 — (256) 768-9191
  • 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 — (423) 431-6111
  • 1211 Medical Center Dr, Nashville, TN 37232-6035 — (615) 322-0160

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3274 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 3274 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0110006145 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1558728626
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 20, 2016
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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