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

Katelyn Marcel Buckner

Individual provider Family Nurse Practitioner · NPI 1477044527

Katelyn Marcel Buckner is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2017, 9 years ago. Practices with Brookwell Health LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2018
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Practice location Address checks out

130 W Ravine Rd
Kingsport, TN 37660
Phone: (423) 224-5550
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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 24173 (TN)

Record details

NPI number1477044527
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2018
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 28, 2020
Mailing address240 Cain Dr, Blountville, TN 37617-4822

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Brookwell Health Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kingsport