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CYNTHIA L CROSS APN
NPI 1184120677
Nurse Practitioner in Chattanooga, TN

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
2341 MCCALLIE AVE STE 403, CHATTANOOGA, TN 37404(423) 698-2435(423) 697-6173 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cynthia L Cross Apn NPPES

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

CYNTHIA L CROSS APN (NPI 1184120677) is an individual nurse practitioner in Chattanooga, Tennessee, licensed in Tennessee (24049) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Parkridge Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184120677
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCYNTHIA L CROSSCredential: APN
Location Address2341 MCCALLIE AVE STE 403Chattanooga, TN 37404-3227
Mailing Address2341 Mccallie Ave Ste 403Chattanooga, TN 37404-3227 · (423) 698-2435 · Fax (423) 697-6173
Phone(423) 698-2435
Fax(423) 697-6173
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2018
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1184120677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 24049
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2341 MCCALLIE AVE STE 403, Chattanooga, TN 37404
Open in Google Maps ↗

Other Identifiers 1

Other24049TN · Apn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health 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

Cynthia L Cross Apn 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 ID7113276809
PECOS Enrollment IDI20180813003528
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

4

Medicare enrollment records show Cynthia Cross reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chattanooga Diagnostic Associates LLC
0.2 mi
Internal Medicine
2205 MCCALLIE AVE
Chattanooga, TN 37404
  • Reassigned Medicare billing, Tennessee enrollment
  • 30 clinicians in this Medicare group
NPI 1679772099 (423) 698-2435
Memorial Health Care System Inc.
0.5 mi
General Acute Care Hospital
2525 DESALES AVE
Chattanooga, TN 37404
  • Reassigned Medicare billing, Tennessee enrollment
  • 66 clinicians in this Medicare group
NPI 1255428736 (423) 495-2525
App Of Tennessee Hm, PLLC
76 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433
Southeastern Physician Services PC
89 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

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
37 services17 patients

Hospital Affiliations CMS Care Compare

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

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440156
Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%94 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%110 patients4/55-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 2

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

DANIELLE LEA PHILLIPS AGACNP
Nurse Practitioner (Acute Care)
2341 MCCALLIE AVE STE 403
CHATTANOOGA, TN 37404
Hamilton County (423) 508-3280
NASTASSJA R MOORE N.P.
Nurse Practitioner (Family)
2341 MCCALLIE AVE STE 403
CHATTANOOGA, TN 37404
Hamilton County (423) 602-9674

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 Cynthia Cross's NPI number?

The NPI number for Cynthia Cross is 1184120677. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Cynthia Cross located?

Cynthia Cross practices at 2341 Mccallie Ave Ste 403, Chattanooga, TN 37404. The listed phone number is (423) 698-2435.

What is Cynthia Cross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cynthia Cross enrolled in Medicare?

Yes. Cynthia Cross 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 Cynthia Cross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Cross reassigns Medicare benefits to 4 organizations: Chattanooga Diagnostic Associates LLC (Chattanooga, TN), Memorial Health Care System Inc. (Chattanooga, TN), App Of Tennessee Hm, PLLC (Shelbyville, TN) and Southeastern Physician Services PC (Oak Ridge, TN). 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 Cynthia Cross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Cross accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Cynthia Cross 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 Cynthia Cross affiliated with any hospitals?

According to CMS data, Cynthia Cross is affiliated with Parkridge Medical Center.

When was this NPI record last updated?

The NPPES record for Cynthia Cross was last updated on December 18, 2023. 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.