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ERICA LEIGHANN BALES FNP-C
NPI 1225770308
Nurse Practitioner - Family in Kingsport, TN

Active since April 10, 2022PECOS EnrolledAccepts Medicare Assignment
5625 LONE STAR RD, KINGSPORT, TN 37660(423) 817-5418 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2024, Jul 21, 2024, Nov 10, 2023 and 1 more (4 updates tracked since 2022).

About Erica Leighann Bales Fnp-c NPPES

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

ERICA LEIGHANN BALES FNP-C (NPI 1225770308) is an individual family provider in Kingsport, Tennessee, licensed in Kentucky (4011026) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Johnson City, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225770308
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA LEIGHANN BALESCredential: FNP-C
Location Address5625 LONE STAR RDKingsport, TN 37660-7950
Mailing Address5716 Starlight RdKingsport, TN 37660-8016 · (423) 817-5418
Phone(423) 817-5418
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 10, 2022
Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1225770308 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
Licenses✔ Licensed in KY · 4011026✔ Licensed in TN · 29801
5625 LONE STAR RD, Kingsport, TN 37660
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 W Market StJohnson City, TN 37604-6023 · Phone (423) 854-4190 · Fax (423) 854-4191

Accepted Insurance

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

Erica Leighann Bales Fnp-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 ID9830548544
PECOS Enrollment IDI20240807001508
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

2

Medicare enrollment records show Erica Bales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foundation Health Services, PLLC
9.3 mi
Urgent Care
5583 BOBBY HICKS HWY STE 205
Johnson City, TN 37615
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1376922278 (423) 707-2509
Fast Pace Medical Clinic PLLC
244 mi
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
NPI 1134452865 (931) 487-1006

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
50 services24 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
25 services24 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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.

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 Erica Bales's NPI number?

The NPI number for Erica Bales is 1225770308. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Erica Bales located?

Erica Bales practices at 5625 Lone Star Rd, Kingsport, TN 37660. The listed phone number is (423) 817-5418.

What is Erica Bales's specialty?

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

Is Erica Bales enrolled in Medicare?

Yes. Erica Bales 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 Erica Bales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Bales reassigns Medicare benefits to 2 organizations: Foundation Health Services, PLLC (Johnson City, TN) and Fast Pace Medical Clinic PLLC (Spring Hill, 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 Erica Bales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Bales accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Erica Bales 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.

When was this NPI record last updated?

The NPPES record for Erica Bales was last updated on July 24, 2024. 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.