MARYELLEN TIPTON FNP
NPI 1336755271
Nurse Practitioner - Family in Knoxville, TN

Q: What is Maryellen Tipton's NPI number?

The NPI number for Maryellen Tipton is 1336755271. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Q: What is Maryellen Tipton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maryellen Tipton was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 16, 2020PECOS Enrolled

8635 MIDDLEBROOK PIKE, KNOXVILLE, TN 37923(865) 824-0079 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2021, Sep 16, 2020 (2 updates tracked since 2020).

On this page

About Maryellen Tipton Fnp NPPES

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

MARYELLEN TIPTON FNP (NPI 1336755271) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (APN0000027745) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1336755271

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARYELLEN TIPTONCredential: FNP

Location Address8635 MIDDLEBROOK PIKEKnoxville, TN 37923-1612

Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747

Phone(865) 824-0079

Sole ProprietorNo

Enumeration DateSeptember 16, 2020

Last NPPES UpdateApril 18, 20232 updates tracked since enumeration

NPPES CertifiedApril 18, 2023

✔ NPI 1336755271 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 · APN0000027745

8635 MIDDLEBROOK PIKE, Knoxville, TN 37923

Open in Google Maps ↗

Secondary Practice Location 1

Location 11489 Touraine PlKnoxville, TN 37919-8278 · Phone (917) 532-0743

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryellen Tipton Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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 20

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

JAKE MILTON TREY TERRY III NP

Nurse Practitioner