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MRS. RONDA M WORSHAM RNMSNCS FNP
NPI 1396840476
Nurse Practitioner in Portland, TN

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
103 REDBUD DR STE E, PORTLAND, TN 37148(615) 325-1206(615) 325-1245 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Oct 22, 2018 (2 updates tracked since 2018).

About Mrs. Ronda M Worsham Rnmsncs Fnp NPPES

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

MRS. RONDA M WORSHAM RNMSNCS FNP (NPI 1396840476) is an individual nurse practitioner in Portland, Tennessee, licensed in Tennessee (12147) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1396840476
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. RONDA M WORSHAMCredential: RNMSNCS FNP
Location Address103 REDBUD DR STE EPortland, TN 37148-9918
Mailing Address100b Mallard Sunrise Dr EWestmoreland, TN 37186-3251 · (615) 644-3000 · Fax (615) 644-3076
Phone(615) 325-1206
Fax(615) 325-1245
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 14, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1396840476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 12147
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License APN0000012147 (TN)
103 REDBUD DR STE E, Portland, TN 37148
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Secondary Practice Location 1

Location 1204 Highway 52 Byp WLafayette, TN 37083-1727 · Phone (615) 688-7353 · Fax (615) 688-7355

Accepted Insurance

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

Mrs. Ronda M Worsham Rnmsncs 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 ID9739189291
PECOS Enrollment IDI20070105000397
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 Ronda Worsham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Portland Medical
1.1 mi
Primary Care
307 S BROADWAY ST
Portland, TN 37148
  • Reassigned Medicare billing, Tennessee enrollment
  • 4 clinicians in this Medicare group
NPI 1679230510 (615) 325-6755

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 2

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37148 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.

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 Ronda Worsham's NPI number?

The NPI number for Ronda Worsham is 1396840476. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Ronda Worsham located?

Ronda Worsham practices at 103 Redbud Dr Ste E, Portland, TN 37148. The listed phone number is (615) 325-1206.

What is Ronda Worsham's specialty?

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

Is Ronda Worsham enrolled in Medicare?

Yes. Ronda Worsham 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 organization bills Medicare for Ronda Worsham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronda Worsham reassigns Medicare benefits to Portland Medical (Portland, TN). 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 Ronda Worsham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronda Worsham accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Ronda Worsham 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 Ronda Worsham affiliated with any hospitals?

According to CMS data, Ronda Worsham is affiliated with Sumner Regional Medical Center and Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for Ronda Worsham was last updated on March 7, 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.