DANIELLE NICOLE HALLMARK
NPI 1316543184
Nurse Practitioner - Family in Lawrenceburg, TN
About Danielle Nicole Hallmark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIELLE NICOLE HALLMARK (NPI 1316543184) is an individual family provider in Lawrenceburg, Tennessee, licensed in Tennessee (APN0000028552) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Danielle Nicole Hallmark 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.
Medicare Billing Reassignment
Medicare enrollment records show Danielle Hallmark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lawrenceburg, TN 38464
- Reassigned Medicare billing, Tennessee enrollment
- 23 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAWRENCEBURG, TN 38464
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 Danielle Hallmark's NPI number?
The NPI number for Danielle Hallmark is 1316543184. It was assigned to this individual provider in the NPPES registry on December 8, 2020.
Where is Danielle Hallmark located?
Danielle Hallmark practices at 326 N Locust Ave, Lawrenceburg, TN 38464. The listed phone number is (931) 762-9797.
What is Danielle Hallmark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Danielle Hallmark enrolled in Medicare?
Yes. Danielle Hallmark 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 Danielle Hallmark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Hallmark reassigns Medicare benefits to One Stop Medical, LLC (Lawrenceburg, 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 Danielle Hallmark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Danielle Hallmark accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Danielle Hallmark 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 Danielle Hallmark was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Danielle Nicole Hallmark · NPI 1316543184
Family physician in Lawrenceburg, Tennessee. Individual provider, active in the CMS NPPES registry since December 8, 2020.
## Identity
- **NPI:** 1316543184 (Entity type: Individual)
- **Enumerated:** December 8, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN0000028552 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 326 N LOCUST AVE, Lawrenceburg, TN 38464-3516
- **Phone:** (931) 762-9797
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** One Stop Medical, LLC (NPI 1053548487, Lawrenceburg, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316543184) · Data from the CMS NPPES public registry.