DARA P DOWNS NP
NPI 1275134025
Nurse Practitioner - Family in Nashville, TN

Active since November 06, 2020PECOS EnrolledAccepts Medicare Assignment
78.51/100
CMS Quality Rating
1718 PATTERSON ST, NASHVILLE, TN 37203(615) 379-3553(615) 346-8479 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Nov 6, 2020 (2 updates tracked since 2020).

About Dara P Downs Np NPPES

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

DARA P DOWNS NP (NPI 1275134025) is an individual family provider in Nashville, Tennessee, licensed in Tennessee (27787) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275134025
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDARA P DOWNSCredential: NP
Location Address1718 PATTERSON STNashville, TN 37203-2926
Mailing Address1718 Patterson StNashville, TN 37203-2926 · (615) 379-3553 · Fax (615) 346-8479
Fax(615) 346-8479
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 6, 2020
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1275134025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 27787
Also ListedNurse PractitionerTaxonomy 363L00000X · License 27787 (TN)
1718 PATTERSON ST, Nashville, TN 37203

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

Dara P Downs Np 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 ID1557774510
PECOS Enrollment IDI20210112000767
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 Dara Downs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
1718 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Alive Complex Care PC
  • 24 clinicians in this Medicare group
Internal Medicine
1718 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 30 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 7

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
223 services161 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
148 services144 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
108 services88 patients
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.
68 services50 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
45 services36 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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.

78.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.39
Promoting Interoperability98
Improvement Activities40
Cost60.66

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.

Social Worker (Clinical)
1718 PATTERSON ST
NASHVILLE, TN 37203
Nurse Practitioner (Acute Care)
1718 PATTERSON ST
NASHVILLE, TN 37203
Physician Assistant
1718 PATTERSON ST
NASHVILLE, TN 37203
Internal Medicine
1718 PATTERSON ST
NASHVILLE, TN 37203
Nurse Practitioner (Family)
1718 PATTERSON ST
NASHVILLE, TN 37203
Nurse Practitioner (Gerontology)
1718 PATTERSON ST
NASHVILLE, TN 37203
Internal Medicine
1718 PATTERSON ST
NASHVILLE, TN 37203
Family Medicine
1718 PATTERSON ST
NASHVILLE, TN 37203

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 Dara Downs's NPI number?

The NPI number for Dara Downs is 1275134025. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Dara Downs located?

Dara Downs practices at 1718 Patterson St, Nashville, TN 37203. The listed phone number is (615) 379-3553.

What is Dara Downs's specialty?

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

Is Dara Downs enrolled in Medicare?

Yes. Dara Downs 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 Dara Downs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dara Downs reassigns Medicare benefits to 2 organizations: Alive Complex Care, P.C. (Nashville, TN) and Alive Hospice, Inc. (Nashville, 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 Dara Downs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dara Downs 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 Dara Downs 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 Dara Downs affiliated with any hospitals?

According to CMS data, Dara Downs is affiliated with Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Dara Downs was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.