ANDREW CLAYTON PAULSEN AG-ACNP-BC
NPI 1023745965
Nurse Practitioner - Acute Care in Chattanooga, TN

Active since August 02, 2022PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
979 E 3RD ST STE C-520B, CHATTANOOGA, TN 37403(423) 778-5661 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrew Clayton Paulsen Ag-acnp-bc NPPES

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

ANDREW CLAYTON PAULSEN AG-ACNP-BC (NPI 1023745965) is an individual acute care provider in Chattanooga, Tennessee, licensed in Tennessee (32166) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023745965
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameANDREW CLAYTON PAULSENCredential: AG-ACNP-BC
Location Address979 E 3RD ST STE C-520BChattanooga, TN 37403-2136
Mailing Address8551 Cedar Retreat LnHarrison, TN 37341-7703 · (423) 763-8850
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 2, 2022
NPPES CertifiedJuly 7, 2022
✔ NPI 1023745965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TN · 32166
979 E 3RD ST STE C-520B, Chattanooga, TN 37403

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Clayton Paulsen Ag-acnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143606715
PECOS Enrollment IDI20221005001108
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 Andrew Paulsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Internal Medicine
979 E 3RD ST STE A440
Chattanooga, TN 37403
  • Reassigned Medicare billing, Tennessee enrollment
  • 679 clinicians in this Medicare group
Internal Medicine
975 E 3RD ST
Chattanooga, TN 37403
  • Reassigned Medicare billing, Tennessee enrollment
  • 533 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.2
Promoting Interoperability100
Improvement Activities40

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 Andrew Paulsen's NPI number?

The NPI number for Andrew Paulsen is 1023745965. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Andrew Paulsen located?

Andrew Paulsen practices at 979 E 3rd St Ste C-520b, Chattanooga, TN 37403. The listed phone number is (423) 778-5661.

What is Andrew Paulsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Andrew Paulsen enrolled in Medicare?

Yes. Andrew Paulsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrew Paulsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Paulsen reassigns Medicare benefits to 2 organizations: Erlanger Health (Chattanooga, TN) and Chattanooga Hamilton County Hospital Authority (Chattanooga, 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 Andrew Paulsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Paulsen accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Andrew Paulsen 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.

Is Andrew Paulsen affiliated with any hospitals?

According to CMS data, Andrew Paulsen is affiliated with Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Paulsen was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.