MELANIE SUE SPEARS MSN, FNP-BC
NPI 1336785898
Nurse Practitioner in Knoxville, TN

Q: What is Melanie Spears's NPI number?

The NPI number for Melanie Spears is 1336785898. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Q: What is Melanie Spears's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melanie Spears was last updated on August 1, 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 November 20, 2019PECOS EnrolledAccepts Medicare Assignment

76.17/100

CMS Quality Rating

9957 SHERRILL BLVD, KNOXVILLE, TN 37932(865) 693-2255(865) 691-7888 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Melanie Sue Spears Msn, Fnp-bc NPPES

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

MELANIE SUE SPEARS MSN, FNP-BC (NPI 1336785898) is an individual nurse practitioner in Knoxville, Tennessee, licensed in Tennessee (33839) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Parkwest Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336785898

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELANIE SUE SPEARSCredential: MSN, FNP-BC

Location Address9957 SHERRILL BLVDKnoxville, TN 37932-3366

Mailing Address900 E Hill Ave Ste 230Knoxville, TN 37915-2565 · (865) 862-0998 · Fax (865) 544-1861

Phone(865) 693-2255

Fax(865) 691-7888

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 20, 2019

Last NPPES UpdateAugust 1, 2023

NPPES CertifiedAugust 1, 2023

✔ NPI 1336785898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in TN · 33839✔ Licensed in GA · 241755

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9957 SHERRILL BLVD, Knoxville, TN 37932

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.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

Melanie Sue Spears Msn, Fnp-bc 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 ID2860826484

PECOS Enrollment IDI20230817000276

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

Medicare enrollment records show Melanie Spears reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tennessee Cancer Specialists, PLLC

6.2 mi

Hematology & Oncology

6408 PAPERMILL DRIVE, SUITE 220
Knoxville, TN 37919

Reassigned Medicare billing, Tennessee enrollment
66 clinicians in this Medicare group

NPI 1407201882 (865) 693-2255

Au Medical Associates Inc

208 mi

Multi-Specialty

1120 15TH ST
Augusta, GA 30912

Reassigned Medicare billing, Georgia enrollment
1,151 clinicians in this Medicare group

NPI 1841230620 (706) 721-2273

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

Hospital Affiliations CMS Care Compare

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

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440173

Location9352 Park West BlvdKnoxville, TN 37923 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37932 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.

76.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.43

Promoting Interoperability

Improvement Activities

Cost

35.04

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$13.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ROSS ERIC KERNS M.D.

Internal Medicine (Hematology & Oncology)