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MAYLEE GRACE MIRACLE PMHNP-BC
NPI 1275224594
Nurse Practitioner - Psychiatric/Mental Health in Bristol, TN

Active since May 17, 2023PECOS Enrolled
739 BLUFF CITY HWY STE 3, BRISTOL, TN 37620(423) 534-9195 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2025, Feb 5, 2025, Oct 9, 2024 and 2 more (5 updates tracked since 2023).

About Maylee Grace Miracle Pmhnp-bc NPPES

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

MAYLEE GRACE MIRACLE PMHNP-BC (NPI 1275224594) is an individual psychiatric/mental health provider in Bristol, Tennessee, licensed in Tennessee (34099) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275224594
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMAYLEE GRACE MIRACLECredential: PMHNP-BC
Location Address739 BLUFF CITY HWY STE 3Bristol, TN 37620-4637
Mailing Address926 W Oakland Ave Ste 202Johnson City, TN 37604-1445 · (423) 850-1150
Phone(423) 534-9195
Sole ProprietorNo
Enumeration DateMay 17, 2023
Last NPPES UpdateMarch 13, 20255 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1275224594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TN · 34099✔ Licensed in VA · 0024192489
Also ListedRegistered NurseTaxonomy 163W00000X · License 0000245367 (TN)
739 BLUFF CITY HWY STE 3, Bristol, TN 37620
Open in Google Maps ↗

Other Names 1

Former Name (1)Maylee G Haynes

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Cigna Healthcare 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 (PECOS)

Maylee Grace Miracle Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Maylee Miracle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hltx1 , Inc.
870 mi
Psychiatry
100 CRESCENT CT STE 700
Dallas, TX 75201
  • Reassigned Medicare billing, Georgia enrollment
  • 21 clinicians in this Medicare group
NPI 1508674359 (310) 892-4284

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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.

TRI-CITIES PEACE AND HEALING, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
739 BLUFF CITY HWY STE 3
BRISTOL, TN 37620
Sullivan County (423) 534-9195
THE OFFICE OF DAPHANE MILLER, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
739 BLUFF CITY HWY STE 3
BRISTOL, TN 37620
Sullivan County (423) 534-9195
DAPHANE MILLER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
739 BLUFF CITY HWY STE 3
BRISTOL, TN 37620
Sullivan County (423) 534-9195

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 Maylee Miracle's NPI number?

The NPI number for Maylee Miracle is 1275224594. It was assigned to this individual provider in the NPPES registry on May 17, 2023. The provider is also known as Maylee G Haynes.

Where is Maylee Miracle located?

Maylee Miracle practices at 739 Bluff City Hwy Ste 3, Bristol, TN 37620. The listed phone number is (423) 534-9195.

What is Maylee Miracle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Maylee Miracle enrolled in Medicare?

Yes. Maylee Miracle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maylee Miracle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maylee Miracle reassigns Medicare benefits to Hltx1 , Inc. (Dallas, TX). 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 Maylee Miracle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maylee Miracle accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Cigna HealthCare of Arizona, Inc, Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Maylee Miracle 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 Maylee Miracle was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.