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

Active since October 04, 2020PECOS EnrolledAccepts Medicare Assignment
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: August 09, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Melanie Baum 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 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.

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
Quality78.46
Promoting Interoperability100
Improvement Activities40
Cost50.07

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Melanie Baum accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company 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 17 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.