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

Miss. Kaci Allison Oetjen

Individual provider Surgical Physician Assistant · NPI 1194393918

Miss. Kaci Allison Oetjen is a Physician Assistant in Chattanooga, Tennessee. Qualified in 2021, 5 years ago. Practices with Legacy Vein Center PLLC, a 16-clinician group and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
5
Licensed in
GA, TN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

7305 Jarnigan Rd Ste 260
Chattanooga, TN 37421-4895
Phone: (423) 708-5050
Fax: (423) 708-5055
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6890 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 10703 (GA)

Record details

NPI number1194393918
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2021
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Legacy Vein Center Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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