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

Kylie Nicole Dedeker

Individual provider Physician Assistant · NPI 1114761152

Kylie Nicole Dedeker is a Physician Assistant in Nashville, Tennessee. Graduated from Mid West Medical College in 2024, 2 years ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Trained at
Mid West Medical College
Licensed in
TN
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-2429
Phone: (615) 322-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8837 Cove Pointe Rd, Eden Prairie, MN 55347-2429 — (952) 334-0225

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6106 (TN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1114761152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 24, 2024
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMID WEST MEDICAL COLLEGE
Graduated 2024 (2 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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