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

Kaylene Fodra, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1881586857

Kaylene Fodra, AGACNP-BC is a Nurse Practitioner in Nashville, Tennessee. Qualified in 2025, 1 year ago. Practices with Centennial Heart LLC, a 121-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
Specialties on file
4
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2400 Patterson St Ste 502
Nashville, TN 37203-6511
Phone: (615) 515-1900
Fax: (615) 292-4633
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 39100 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 39100 (TN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 39100 (TN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 39100 (TN)

Record details

NPI number1881586857
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJuly 16, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Centennial Heart Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Nashville