MR. DANIEL HELTON FNP-BC
NPI 1184026791
Nurse Practitioner - Family in Alcoa, TN

Active since September 25, 2014PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
266 JOULE ST, ALCOA, TN 37701(865) 984-3864(865) 380-4095 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2023, May 19, 2020 (2 updates tracked since 2020).

About Mr. Daniel Helton Fnp-bc NPPES

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

MR. DANIEL HELTON FNP-BC (NPI 1184026791) is an individual family provider in Alcoa, Tennessee, licensed in Tennessee (18824) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184026791
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DANIEL HELTONCredential: FNP-BC
Location Address266 JOULE STAlcoa, TN 37701-2422
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Fax(865) 380-4095
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 25, 2014
Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
NPI 1184026791 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 · 18824
266 JOULE ST, Alcoa, TN 37701

Other Identifiers 1

MedicaidQ009052TN

Accepted 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

Mr. Daniel Helton Fnp-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 ID1850513227
PECOS Enrollment IDI20141119002040
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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 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.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37701 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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
13%224 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
17%440 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
55%418 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,454 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%943 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 371 patients
Patients tobacco: 6% · 118 patients
53%371 patients3/55-star benchmark: 98%
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 20

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

Physician Assistant
266 JOULE ST
ALCOA, TN 37701
Nurse Practitioner
266 JOULE ST
ALCOA, TN 37701
Internal Medicine
266 JOULE ST
ALCOA, TN 37701
Family Medicine
266 JOULE ST
ALCOA, TN 37701
Physician Assistant
266 JOULE ST
ALCOA, TN 37701
Nurse Practitioner (Family)
266 JOULE ST
ALCOA, TN 37701
Psychiatry & Neurology (Neurology)
266 JOULE ST
ALCOA, TN 37701
Nurse Practitioner (Adult Health)
266 JOULE ST
ALCOA, TN 37701

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 Daniel Helton's NPI number?

The NPI number for Daniel Helton is 1184026791. It was assigned to this individual provider in the NPPES registry on September 25, 2014.

Where is Daniel Helton located?

Daniel Helton practices at 266 Joule St, Alcoa, TN 37701. The listed phone number is (865) 984-3864.

What is Daniel Helton's specialty?

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

Is Daniel Helton enrolled in Medicare?

Yes. Daniel Helton 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 Daniel Helton accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Daniel Helton 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 Daniel Helton affiliated with any hospitals?

According to CMS data, Daniel Helton is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Helton was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.