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MELISSA ANN MCPHAIL NP
NPI 1154643278
Nurse Practitioner - Family in Kingsport, TN

Active since February 16, 2010PECOS EnrolledAccepts Medicare Assignment
105 W STONE DR STE 1J, KINGSPORT, TN 37660(423) 857-2796(423) 390-3330 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, Sep 25, 2024, Aug 1, 2024 (3 updates tracked since 2024).

About Melissa Ann Mcphail Np NPPES

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

MELISSA ANN MCPHAIL NP (NPI 1154643278) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (14551) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains a secondary practice location in Bristol.

NPPES Registry Identity

NPI1154643278
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA ANN MCPHAILCredential: NP
Location Address105 W STONE DR STE 1JKingsport, TN 37660-3365
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066
Phone(423) 857-2796
Fax(423) 390-3330
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 16, 2010
Last NPPES UpdateJune 3, 20253 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1154643278 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 · 14551✔ Licensed in VA · 0024169949
105 W STONE DR STE 1J, Kingsport, TN 37660
Open in Google Maps ↗

Secondary Practice Location 1

Location 1271 Medical Park BlvdBristol, TN 37620-7455 · Phone (423) 968-2311 · Fax (423) 968-2109

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company.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

Melissa Ann Mcphail Np 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 ID5698807089
PECOS Enrollment IDI20100721000186
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

7

Medicare enrollment records show Melissa Mcphail reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmont Medical Associates, Inc.
0.1 mi
Internal Medicine
111 W STONE DR, SUITE 110
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1598124398 (423) 224-3701
Holston Medical Group PC
0.2 mi
Medical Laboratory
105 W STONE DR, 1H
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 250 clinicians in this Medicare group
NPI 1356405120 (423) 392-6200
State Of Franklin Healthcare Associates PLLC
14 mi
Internal Medicine
121 BOONE RIDGE DR STE 1002
Johnson City, TN 37615
  • Reassigned Medicare billing, Tennessee enrollment
  • 357 clinicians in this Medicare group
NPI 1063459410 (423) 794-5500
Southwestern Virginia Mental Health Institute
61 mi
Hospitalist
340 BAGLEY CIRCLE
Marion, VA 24354
  • Reassigned Medicare billing, Virginia enrollment
  • 31 clinicians in this Medicare group
NPI 1912964347 (276) 783-1200
Southeastern Physician Services PC
101 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Fast Pace Medical Clinic PLLC
249 mi
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
NPI 1134452865 (931) 487-1006
Np Health Of Tn PLLC
472 mi
Physical Medicine & Rehabilitation
9400 MARION AVE
Morton Grove, IL 60053
  • Reassigned Medicare billing, Tennessee enrollment
  • 65 clinicians in this Medicare group
NPI 1841888591 (855) 611-8783

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 3

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490038
Location245 Medical Park DriveMarion, VA 24354 · Smyth County
Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%28 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LAURA A HUTCHINSON APN
Nurse Practitioner (Gerontology)
105 W STONE DR STE 1J
KINGSPORT, TN 37660
Sullivan County (423) 390-3279
LISA A MCKINNEY SMITH DO
Internal Medicine (Pulmonary Disease)
105 W STONE DR STE 1J
KINGSPORT, TN 37660
Sullivan County (423) 378-7654
MS. TRACEY YVONNE ROBERTSON FNP
Nurse Practitioner (Family)
105 W STONE DR STE 1J
KINGSPORT, TN 37660
Sullivan County (423) 378-7654
RUHMA ARIF M.D.
Family Medicine
105 W STONE DR STE 1J
KINGSPORT, TN 37660
Sullivan County (423) 857-2793

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 Melissa Mcphail's NPI number?

The NPI number for Melissa Mcphail is 1154643278. It was assigned to this individual provider in the NPPES registry on February 16, 2010.

Where is Melissa Mcphail located?

Melissa Mcphail practices at 105 W Stone Dr Ste 1J, Kingsport, TN 37660. The listed phone number is (423) 857-2796.

What is Melissa Mcphail's specialty?

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

Is Melissa Mcphail enrolled in Medicare?

Yes. Melissa Mcphail 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 Melissa Mcphail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Mcphail reassigns Medicare benefits to 7 organizations: Wellmont Medical Associates, Inc. (Kingsport, TN), Holston Medical Group PC (Kingsport, TN), State Of Franklin Healthcare Associates PLLC (Johnson City, TN), Southwestern Virginia Mental Health Institute (Marion, VA), Southeastern Physician Services PC (Oak Ridge, TN) and 2 more organizations, listed in the Medicare section above. 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 Melissa Mcphail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Mcphail accept?

Health plans from Cigna Healthcare and Oscar Insurance Company list Melissa Mcphail 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 Melissa Mcphail affiliated with any hospitals?

According to CMS data, Melissa Mcphail is affiliated with Wellmont Bristol Regional Medical Center, Smyth County Community Hospital and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Mcphail was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.