MS. MELANIE BAUM FNP
NPI 1366049264
Nurse Practitioner - Family in Nashville, TN

Q: What is Melanie Baum's NPI number?

The NPI number for Melanie Baum is 1366049264. It was assigned to this individual provider in the NPPES registry on October 4, 2020.

Q: What is Melanie Baum'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 Melanie Baum was last updated on March 12, 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.

Active since October 04, 2020PECOS Enrolled

85.79/100

CMS Quality Rating

2400 PATTERSON ST., SUITE 502, NASHVILLE, TN 37203(615) 515-1900(615) 515-1914 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2025, Jun 22, 2023, May 9, 2023 and 1 more (4 updates tracked since 2020).

On this page

About Ms. Melanie Baum Fnp NPPES

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

MS. MELANIE BAUM FNP (NPI 1366049264) is an individual family provider in Nashville, Tennessee, licensed in Illinois (209020948) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Tristar Centennial Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366049264

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. MELANIE BAUMCredential: FNP

Location Address2400 PATTERSON ST., SUITE 502Nashville, TN 37203-6511

Mailing Address2400 Patterson St., Suite 502Nashville, TN 37203-6511 · (615) 515-1900 · Fax (615) 515-1914

Phone(615) 515-1900

Fax(615) 515-1914

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 4, 2020

Last NPPES UpdateMarch 12, 20254 updates tracked since enumeration

NPPES CertifiedJune 22, 2023

✔ NPI 1366049264 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 IL · 209020948

2400 PATTERSON ST., Nashville, TN 37203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Melanie Baum Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395151468

PECOS Enrollment IDI20230816001682

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

Chicago Cardiology Institute S.C.

412 mi

Cardiovascular Disease

804 WOODFIELD RD, SUITE 300
Schaumburg, IL 60173

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Chicago Cardiology Institute Sc
35 clinicians in this Medicare group

NPI 1568600286 (847) 605-9500

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 6

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

295 services246 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

292 services244 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

42 services39 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

29 services25 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

22 services21 patients

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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440161

Location2300 Patterson StreetNashville, TN 37203 · Davidson County

Emergency services Birthing friendly

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.

85.79/100

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

Scored as part of a group practice

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Cost

50.07

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 Melanie Baum's NPI number?

The NPI number for Melanie Baum is 1366049264. It was assigned to this individual provider in the NPPES registry on October 4, 2020.

Where is Melanie Baum located?

Melanie Baum practices at 2400 Patterson St. Suite 502, Nashville, TN 37203. The listed phone number is (615) 515-1900.

What is Melanie Baum's specialty?

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

Is Melanie Baum enrolled in Medicare?

Yes. Melanie Baum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melanie Baum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Baum reassigns Medicare benefits to Chicago Cardiology Institute S.C. (Schaumburg, IL). 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 Melanie Baum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Baum accept?

Health plans from Alliant Health Plans, Inc. list Melanie Baum 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.

Is Melanie Baum affiliated with any hospitals?

According to CMS data, Melanie Baum is affiliated with Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Melanie Baum was last updated on March 12, 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.