MADISON SHIPLEY POWERS
NPI 1215633631
Nurse Anesthetist, Certified Registered in Kingsport, TN

Q: What is Madison Powers's NPI number?

The NPI number for Madison Powers is 1215633631. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Q: What is Madison Powers's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Powers was last updated on January 15, 2026. 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.

Active since February 07, 2023Accepts Medicare Assignment

10415 WALLACE ALLEY ST, KINGSPORT, TN 37663(423) 390-0451 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 15, 2026, Feb 7, 2023 (2 updates tracked since 2023).

On this page

About Madison Shipley Powers NPPES

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

MADISON SHIPLEY POWERS (NPI 1215633631) is an individual nurse anesthetist, certified registered in Kingsport, Tennessee, licensed in Tennessee (40811) and active in the NPI registry since February 2023. She is affiliated with Johnson City Medical Center, maintains a secondary practice location in Piney Flats, and is a graduate of Virginia Commonwealth University, School Of Medicine (2025).

NPPES Registry Identity

NPI1215633631

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMADISON SHIPLEY POWERS

Location Address10415 WALLACE ALLEY STKingsport, TN 37663-3936

Mailing Address6385 Bristol Hwy Apt 250Piney Flats, TN 37686-5235 · (423) 483-4540

Phone(423) 390-0451

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2025

Enumeration DateFebruary 7, 2023

Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1215633631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 40811

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10415 WALLACE ALLEY ST, Kingsport, TN 37663

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Secondary Practice Location 1

Location 16385 Bristol Hwy Apt 250Piney Flats, TN 37686-5235 · Phone (423) 483-4540

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

Madison Shipley Powers 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 ID9830678085

PECOS Enrollment IDI20260209000185

Medicare Billing Reassignment

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

Paragon Anesthesia PC

0.2 mi

Anesthesiology

10415 WALLACE ALLEY ST
Kingsport, TN 37663

Reassigned Medicare billing, Tennessee enrollment
294 clinicians in this Medicare group

NPI 1538174974 (423) 390-0451

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

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 37663 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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 20

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

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