ATHENA THERESE COTTEN FNP
NPI 1295212710
Nurse Practitioner - Family in Nashville, TN

Active since July 26, 2018PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
426 21ST AVE S, NASHVILLE, TN 37203(866) 389-2727(401) 216-3854 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Athena Therese Cotten Fnp NPPES

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

ATHENA THERESE COTTEN FNP (NPI 1295212710) is an individual family provider in Nashville, Tennessee, licensed in Tennessee (24545) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295212710
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameATHENA THERESE COTTENCredential: FNP
Location Address426 21ST AVE SNashville, TN 37203-2424
Mailing Address1626 Haynes DrMurfreesboro, TN 37129-1069 · (513) 328-3037
Fax(401) 216-3854
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 26, 2018
✔ NPI 1295212710 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
License✔ Licensed in TN · 24545
426 21ST AVE S, 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

Athena Therese Cotten Fnp 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 ID2062764061
PECOS Enrollment IDI20181002002009
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 Athena Cotten reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
3715 HILLSBORO RD
Nashville, TN 37215
  • Reassigned Medicare billing, Tennessee enrollment
  • 123 clinicians in this Medicare group
Family
3715 HILLSBORO PIKE
Nashville, TN 37215
  • Reassigned Medicare billing, Tennessee enrollment
  • 74 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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.67
Improvement Activities40
Cost94.58

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
426 21ST AVE S
NASHVILLE, TN 37203
Pharmacist
426 21ST AVE S
NASHVILLE, TN 37203
Nurse Practitioner (Family)
426 21ST AVE S
NASHVILLE, TN 37203
Pharmacy
426 21ST AVE S
NASHVILLE, TN 37203
Nurse Practitioner (Family)
426 21ST AVE S
NASHVILLE, TN 37203
Nurse Practitioner (Family)
426 21ST AVE S
NASHVILLE, TN 37203
Pharmacist
426 21ST AVE S
NASHVILLE, TN 37203
Pharmacist
426 21ST AVE S
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 Athena Cotten's NPI number?

The NPI number for Athena Cotten is 1295212710. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Where is Athena Cotten located?

Athena Cotten practices at 426 21st Ave S, Nashville, TN 37203. The listed phone number is (866) 389-2727.

What is Athena Cotten's specialty?

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

Is Athena Cotten enrolled in Medicare?

Yes. Athena Cotten 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 Athena Cotten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Athena Cotten reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of Tennessee PC (Nashville, TN) and Minuteclinic Primary Care Tennessee PLLC (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 Athena Cotten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Athena Cotten accept?

Health plans from BlueCross BlueShield of Tennessee list Athena Cotten 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 Athena Cotten was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.