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MARTI ALEX BIGGERSTAFF FNP
NPI 1124597174
Nurse Practitioner - Family in Helenwood, TN

Active since November 20, 2018PECOS EnrolledAccepts Medicare Assignment
11757 SCOTT HWY, HELENWOOD, TN 37755(423) 663-2447(423) 663-2448 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2024, Mar 7, 2023, Jun 9, 2022 and 6 more (9 updates tracked since 2018).

About Marti Alex Biggerstaff Fnp NPPES

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

MARTI ALEX BIGGERSTAFF FNP (NPI 1124597174) is an individual family provider in Helenwood, Tennessee, licensed in Tennessee (24636) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Lafollette Medical Center, and is a graduate of Lincoln Memorial University Medical Department (2018).

NPPES Registry Identity

NPI1124597174
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARTI ALEX BIGGERSTAFFCredential: FNP
Location Address11757 SCOTT HWYHelenwood, TN 37755-5242
Mailing Address11757 Scott HwyHelenwood, TN 37755-5242 · (423) 663-2447 · Fax (423) 663-2448
Phone(423) 663-2447
Fax(423) 663-2448
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2018
Enumeration DateNovember 20, 2018
Last NPPES UpdateJuly 16, 20249 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1124597174 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
Licenses✔ Licensed in TN · 24636✔ Licensed in KY · 3013131✔ Licensed in TN · 208539
11757 SCOTT HWY, Helenwood, TN 37755
Open in Google Maps ↗

Other Identifiers 5

Other24636TN · State License
Other3013131KY · State License
MedicaidQ048131TN
Medicaid7100582070KY
Other208539TN · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marti Alex Biggerstaff Fnp 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 ID345581104
PECOS Enrollment IDI20240624000633
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
25 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services12 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Lafollette Medical Center

Acute Care Hospitals · La Follette, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440033
Location923 East Central AvenueLa Follette, TN 37766 · Campbell County
Emergency services

Big South Fork Medical Center

Critical Access Hospitals · Oneida, TN
OwnershipProprietary
CMS Certification Number441323
Location18797 Alberta StreetOneida, TN 37841 · Scott County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37755 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$113.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

BIGGS PRIMARY AND URGENT CARE, LLC
Clinic/Center (Primary Care)
11757 SCOTT HWY
HELENWOOD, TN 37755
Scott County (423) 663-2447

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 Marti Biggerstaff's NPI number?

The NPI number for Marti Biggerstaff is 1124597174. It was assigned to this individual provider in the NPPES registry on November 20, 2018.

Where is Marti Biggerstaff located?

Marti Biggerstaff practices at 11757 Scott Hwy, Helenwood, TN 37755. The listed phone number is (423) 663-2447.

What is Marti Biggerstaff's specialty?

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

Is Marti Biggerstaff enrolled in Medicare?

Yes. Marti Biggerstaff 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.

What insurance does Marti Biggerstaff accept?

Health plans from BlueCross BlueShield of Tennessee list Marti Biggerstaff 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 Marti Biggerstaff affiliated with any hospitals?

According to CMS data, Marti Biggerstaff is affiliated with Lafollette Medical Center and Big South Fork Medical Center.

When was this NPI record last updated?

The NPPES record for Marti Biggerstaff was last updated on July 16, 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.