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

Kendall Baumrucker

Individual provider Registered Nurse · NPI 1366139636

Kendall Baumrucker is a Nurse Practitioner in Nashville, Tennessee. Qualified in 2024, 2 years ago. Practices with Privia Medical Group Tennessee LLC, a 145-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2200 Childrens Way
Nashville, TN 37232-0005
Phone: (615) 936-1000
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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 37520 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 0000251985 (TN)

Record details

NPI number1366139636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2023
Last updated in NPPESNovember 26, 2024
Certification dateNovember 21, 2024
Mailing address421 Moore Ave Unit A, Nashville, TN 37203-5320

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Privia Medical Group Tennessee Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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