JOHN C BAILEY FNP
NPI 1194781203
Nurse Practitioner - Family in Johnson City, TN

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
378 MARKETPLACE DR STE 5, JOHNSON CITY, TN 37604(423) 282-0751(423) 282-1577 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John C Bailey Fnp NPPES

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

JOHN C BAILEY FNP (NPI 1194781203) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (APN07931) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1194781203
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN C BAILEYCredential: FNP
Location Address378 MARKETPLACE DR STE 5Johnson City, TN 37604-2361
Mailing Address1019 W Oakland Ave, Suite 1Johnson City, TN 37604-2357 · (423) 915-5000 · Fax (423) 915-5045
Fax(423) 282-1577
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1992
Enumeration DateApril 26, 2006
Last NPPES UpdateJune 5, 2018
✔ NPI 1194781203 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 · APN07931
378 MARKETPLACE DR STE 5, Johnson City, TN 37604

Secondary Practice Location 1

Location 11019 W Oakland Ave Ste 1Johnson City, TN 37604-2357 · Phone (423) 915-5000 · Fax (423) 915-5045

Other Identifiers 3

OtherP00435223TN · Railroad Medicare
MedicaidQ003282TN
Medicaid1194781203VA

Accepted 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

John C Bailey 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 ID6800787797
PECOS Enrollment IDI20040408000209
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 Reassignment

Medicare enrollment records show John Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
161 HEART DR STE A
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group

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 3

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.

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.
52 services49 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
13 services13 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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 3

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

Physician Assistant
378 MARKETPLACE DR STE 5
JOHNSON CITY, TN 37604
Physician Assistant
378 MARKETPLACE DR STE 5
JOHNSON CITY, TN 37604
Physician Assistant
378 MARKETPLACE DR STE 5
JOHNSON CITY, TN 37604

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 John Bailey's NPI number?

The NPI number for John Bailey is 1194781203. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is John Bailey located?

John Bailey practices at 378 Marketplace Dr Ste 5, Johnson City, TN 37604. The listed phone number is (423) 282-0751.

What is John Bailey's specialty?

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

Is John Bailey enrolled in Medicare?

Yes. John Bailey 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 organization bills Medicare for John Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Bailey reassigns Medicare benefits to Wellmont Medical Associates, Inc. (Johnson City, TN). The 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 John Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Bailey accept?

Health plans from Cigna Healthcare list John Bailey 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 John Bailey affiliated with any hospitals?

According to CMS data, John Bailey is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for John Bailey was last updated on June 5, 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.