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

Nina Lisette De Vilmorin, MD

Individual provider Anesthesiology Physician · NPI 1295774750

Nina Lisette De Vilmorin, MD is an Anesthesiology in Kingsport, Tennessee. Graduated from California University of Science and Medicine in 1991, 35 years ago. Practices with Paragon Anesthesia PC, a 215-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana, North Carolina and Tennessee.

Years since qualifying
35
Trained at
California University of Science and Medicine
Licensed in
MT, NC, TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10415 Wallace Alley St
Kingsport, TN 37663-3936
Phone: (423) 390-0451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 509 Biltmore Ave, Asheville, NC 28801-4601 — (828) 213-2325

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 74578 (TN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 2015-01341 (NC)
Anesthesiology Physician Taxonomy 207L00000X · Licence 148229 (MT)

Record details

NPI number1295774750
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolCALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE
Graduated 1991 (35 years in practice)
Group practice Paragon Anesthesia Pc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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