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

Kellie Ann Wahl, NP-C

Individual provider Nurse Practitioner · NPI 1013387000

Kellie Ann Wahl, NP-C is a Nurse Practitioner in Chattanooga, Tennessee. Qualified in 2015, 11 years ago. Practices with Samaritan Health Care PC, a 9-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1108 Valentine Cir
Chattanooga, TN 37405-2866
Phone: (231) 920-5625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704291998 (MI)

Record details

NPI number1013387000
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 2, 2015
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Samaritan Health Care Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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