MICHELLE NILUFAR KHOSHKHOU PMHNP-BC
NPI 1104645571
Nurse Practitioner - Psychiatric/Mental Health in Chattanooga, TN

Q: What is Michelle Khoshkhou's NPI number?

The NPI number for Michelle Khoshkhou is 1104645571. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Q: What is Michelle Khoshkhou's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 03, 2024PECOS EnrolledAccepts Medicare Assignment

6110 SHALLOWFORD RD STE B, CHATTANOOGA, TN 37421(888) 291-4357(423) 296-6384 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2025, Jan 9, 2025, Oct 3, 2024 (3 updates tracked since 2024).

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About Michelle Nilufar Khoshkhou Pmhnp-bc NPPES

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

MICHELLE NILUFAR KHOSHKHOU PMHNP-BC (NPI 1104645571) is an individual psychiatric/mental health provider in Chattanooga, Tennessee, licensed in Tennessee (36664) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ellensburg, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104645571

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMICHELLE NILUFAR KHOSHKHOUCredential: PMHNP-BC

Location Address6110 SHALLOWFORD RD STE BChattanooga, TN 37421-1894

Mailing Address6110 Shallowford Rd Ste BChattanooga, TN 37421-1894 · (888) 291-4357

Phone(888) 291-4357

Fax(423) 296-6384

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 3, 2024

Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1104645571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in TN · 36664✔ Licensed in WA · AP61601529

6110 SHALLOWFORD RD STE B, Chattanooga, TN 37421

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Secondary Practice Location 1

Location 11410 W Dolarway Rd Ste 326Ellensburg, WA 98926-9821 · Phone (706) 676-1877

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and more.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

Michelle Nilufar Khoshkhou Pmhnp-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 ID8729517339

PECOS Enrollment IDI20250128002191

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 Reassignment

Medicare enrollment records show Michelle Khoshkhou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centerstone Of Tennessee, Inc.

109 mi

Mental Health (Including Community Mental Health Center)

1921 RANSOM PL
Nashville, TN 37217

Reassigned Medicare billing, Tennessee enrollment
181 clinicians in this Medicare group

NPI 1396767430 (615) 463-6652

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 37421 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 20

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

SPARKA J. PERRY LMSW

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