CHARITY HELTON FNP
NPI 1003367517
Nurse Practitioner - Family in Johnson City, TN

Active since October 19, 2016PECOS Enrolled
325 N. STATE OF FRANKLIN ROAD, GROUND FL, JOHNSON CITY, TN 37604(423) 439-7320 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2019, Oct 19, 2016 (2 updates tracked since 2016).

About Charity Helton Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARITY HELTON FNP (NPI 1003367517) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (21920) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003367517
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARITY HELTONCredential: FNP
Location Address325 N. STATE OF FRANKLIN ROAD, GROUND FLJohnson City, TN 37604
Mailing Address307 Marbleton RdUnicoi, TN 37692-6840 · (423) 220-7573
Sole ProprietorNo
Enumeration DateOctober 19, 2016
Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1003367517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 21920
325 N. STATE OF FRANKLIN ROAD, Johnson City, TN 37604

Secondary Practice Locations 2

Location 1105 W Stone Dr Ste 3AKingsport, TN 37660-3365 · Phone (423) 230-2430 · Fax (423) 378-5940
Location 2400 N State Of Franklin RdJohnson City, TN 37604-6035 · Phone (423) 431-5339

Other Identifiers 1

MedicaidQ026293TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charity Helton Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Charity Helton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 284 clinicians in this Medicare group
Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
325 N. STATE OF FRANKLIN ROAD, GROUND FL
JOHNSON CITY, TN 37604
Medical Genetics (Clinical Genetics (M.D.))
325 N. STATE OF FRANKLIN ROAD, GROUND FL
JOHNSON CITY, TN 37604
Nurse Practitioner
325 N. STATE OF FRANKLIN ROAD, GROUND FL
JOHNSON CITY, TN 37604
Psychologist (Clinical)
325 N. STATE OF FRANKLIN ROAD, GROUND FL
JOHNSON CITY, TN 37604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charity Helton's NPI number?

The NPI number for Charity Helton is 1003367517. It was assigned to this individual provider in the NPPES registry on October 19, 2016.

Where is Charity Helton located?

Charity Helton practices at 325 N. State Of Franklin Road Ground Fl, Johnson City, TN 37604. The listed phone number is (423) 439-7320.

What is Charity Helton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charity Helton enrolled in Medicare?

Yes. Charity Helton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charity Helton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charity Helton reassigns Medicare benefits to 2 organizations: Tri-Cities Regional Emergency Physicians, PC (Johnson City, TN) and Medical Education Assistance Corporation (Johnson City, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charity Helton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charity Helton accept?

Health plans from Oscar Health, Oscar Insurance Company and UnitedHealthcare list Charity Helton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charity Helton was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.