MONICA NEWTON NP-C
NPI 1164801924
Nurse Practitioner - Family in Lawrenceburg, TN

Q: What is Monica Newton's NPI number?

The NPI number for Monica Newton is 1164801924. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Q: What is Monica Newton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Monica Newton was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 27, 2015PECOS EnrolledAccepts Medicare Assignment

3051 BUFFALO RD, LAWRENCEBURG, TN 38464(615) 673-6737(800) 474-4039 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2018, Apr 9, 2018 (2 updates tracked since 2018).

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About Monica Newton Np-c NPPES

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

MONICA NEWTON NP-C (NPI 1164801924) is an individual family provider in Lawrenceburg, Tennessee, licensed in Tennessee (APN0000019736) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Nashville, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164801924

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMONICA NEWTONCredential: NP-C

Location Address3051 BUFFALO RDLawrenceburg, TN 38464-6189

Mailing AddressPo Box 1118Fayetteville, TN 37334-1118 · (931) 438-8260 · Fax (931) 438-8257

Phone(615) 673-6737

Fax(800) 474-4039

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 27, 2015

Last NPPES UpdateMay 2, 20182 updates tracked since enumeration

✔ NPI 1164801924 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 · APN0000019736

3051 BUFFALO RD, Lawrenceburg, TN 38464

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Secondary Practice Location 1

Location 173 White Bridge Rd # 103-243Nashville, TN 37205-1444 · Phone (615) 673-6737

Accepted Insurance

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

Monica Newton Np-c 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 ID6002109261

PECOS Enrollment IDI20160726000453

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,133 services221 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

122 services39 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

97 services95 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

67 services18 patients

Psychiatric diagnostic evaluation with medical services 90792

37 services37 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

23 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38464 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 6

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

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