MARIA JOHANA ZAMBRANO DO
NPI 1235690538
Preventive Medicine - Addiction Medicine in Johnson City, TN

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
2 PROFESSIONAL PARK DR STE 11, JOHNSON CITY, TN 37604(423) 952-6474 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2024, May 6, 2021 (2 updates tracked since 2021).

About Maria Johana Zambrano Do NPPES

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

MARIA JOHANA ZAMBRANO DO (NPI 1235690538) is an individual addiction medicine provider in Johnson City, Tennessee, licensed in Tennessee (5873) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and maintains a secondary practice location in Ormond Beach.

NPPES Registry Identity

NPI1235690538
Entity TypeIndividualFemale
Primary Taxonomy2083A0300X
Provider Legal NameMARIA JOHANA ZAMBRANOCredential: DO
Location Address2 PROFESSIONAL PARK DR STE 11Johnson City, TN 37604-6584
Mailing AddressPo Box 699Mountain Home, TN 37684-0699
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 28, 2019
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1235690538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in TN · 5873
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
2 PROFESSIONAL PARK DR STE 11, Johnson City, TN 37604

Secondary Practice Location 1

Location 11807 Palmer DrOrmond Beach, FL 32174-7102 · Phone (386) 872-0782

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

Maria Johana Zambrano Do 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 ID1456775261
PECOS Enrollment IDI20241031001088
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 Maria Zambrano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 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.

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
$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
$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 11

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

Surgery (Vascular Surgery)
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Family Medicine
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Social Worker
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Surgery
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Surgery (Vascular Surgery)
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Family Medicine
2 PROFESSIONAL PARK DR STE 11
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 Maria Zambrano's NPI number?

The NPI number for Maria Zambrano is 1235690538. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Maria Zambrano located?

Maria Zambrano practices at 2 Professional Park Dr Ste 11, Johnson City, TN 37604. The listed phone number is (423) 952-6474.

What is Maria Zambrano's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Maria Zambrano enrolled in Medicare?

Yes. Maria Zambrano 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 Maria Zambrano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Zambrano reassigns Medicare benefits to Medical Education Assistance Corporation (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 Maria Zambrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Zambrano accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Maria Zambrano 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 Maria Zambrano affiliated with any hospitals?

According to CMS data, Maria Zambrano is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Maria Zambrano was last updated on September 23, 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.