MELANIE SUSANNE BARKER NP
NPI 1396546982
Nurse Practitioner - Acute Care in Cookeville, TN

Active since March 20, 2025PECOS EnrolledAccepts Medicare Assignment
127 N OAK AVE # A, COOKEVILLE, TN 38501(931) 783-2361(931) 783-5215 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melanie Susanne Barker Np NPPES

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

MELANIE SUSANNE BARKER NP (NPI 1396546982) is an individual acute care provider in Cookeville, Tennessee, licensed in Tennessee (38436) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396546982
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMELANIE SUSANNE BARKERCredential: NP
Location Address127 N OAK AVE # ACookeville, TN 38501-2435
Mailing Address140 W 7th StCookeville, TN 38501-1726 · (931) 783-5582 · Fax (931) 783-2728
Fax(931) 783-5215
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 20, 2025
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1396546982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TN · 38436
Also ListedNurse PractitionerTaxonomy 363L00000X · License 38436 (TN)
127 N OAK AVE # A, Cookeville, TN 38501

Secondary Practice Locations 2

Location 1907 E LaMar Alexander PkwyMaryville, TN 37804-5016 · Phone (865) 983-7211
Location 21 Medical Center BlvdCookeville, TN 38501-4294 · Phone (931) 528-2541 · Fax (931) 783-5215

Other Identifiers 2

MedicaidQ103386TN
Other8058762TN · Bcbst

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

Melanie Susanne Barker Np 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 ID7416454087
PECOS Enrollment IDI20251009000683
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

3

Medicare enrollment records show Melanie Barker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
140 W 7TH ST
Cookeville, TN 38501
  • Reassigned Medicare billing, Tennessee enrollment
  • 124 clinicians in this Medicare group
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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 7

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

Physician Assistant
127 N OAK AVE # A
COOKEVILLE, TN 38501
Nurse Practitioner
127 N OAK AVE # A
COOKEVILLE, TN 38501
Nurse Practitioner
127 N OAK AVE # A
COOKEVILLE, TN 38501
Nurse Practitioner
127 N OAK AVE # A
COOKEVILLE, TN 38501
Internal Medicine (Interventional Cardiology)
127 N OAK AVE # A
COOKEVILLE, TN 38501
Internal Medicine (Interventional Cardiology)
127 N OAK AVE # A
COOKEVILLE, TN 38501
Internal Medicine (Cardiovascular Disease)
127 N OAK AVE # A
COOKEVILLE, TN 38501

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 Barker's NPI number?

The NPI number for Melanie Barker is 1396546982. It was assigned to this individual provider in the NPPES registry on March 20, 2025.

Where is Melanie Barker located?

Melanie Barker practices at 127 N Oak Ave # A, Cookeville, TN 38501. The listed phone number is (931) 783-2361.

What is Melanie Barker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Melanie Barker enrolled in Medicare?

Yes. Melanie Barker 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 organizations bill Medicare for Melanie Barker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Barker reassigns Medicare benefits to 3 organizations: Cookeville Regional Medical Group, Inc (Cookeville, TN), Southeastern Physician Services PC (Oak Ridge, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). Each 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 Barker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Barker accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Melanie Barker 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 Melanie Barker was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.