MARK DANIEL MCAFEE APRN
NPI 1487410122
Nurse Practitioner in Knoxville, TN

Q: What is Mark Mcafee's NPI number?

The NPI number for Mark Mcafee is 1487410122. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Q: What is Mark Mcafee'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 Mark Mcafee was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 21, 2024PECOS EnrolledAccepts Medicare Assignment

1311 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909(865) 588-5121 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mark Daniel Mcafee Aprn NPPES

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

MARK DANIEL MCAFEE APRN (NPI 1487410122) is an individual nurse practitioner in Knoxville, Tennessee, licensed in Tennessee (35680) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487410122

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMARK DANIEL MCAFEECredential: APRN

Location Address1311 DOWELL SPRINGS BLVDKnoxville, TN 37909-2454

Mailing Address6011 Star Ray LnKnoxville, TN 37931-3597 · (317) 840-7927

Phone(865) 588-5121

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 21, 2024

Last NPPES UpdateMarch 1, 2024

NPPES CertifiedMarch 1, 2024

✔ NPI 1487410122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 35680

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.

1311 DOWELL SPRINGS BLVD, Knoxville, TN 37909

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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, 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

Mark Daniel Mcafee Aprn 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 ID547608135

PECOS Enrollment IDI20240402000841

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 Mark Mcafee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastrointestinal Associates, PC

0.8 mi

Gastroenterology

1311 DOWELL SPRINGS BOULEVARD, SUITE 300
Knoxville, TN 37909

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

NPI 1780695999 (865) 588-5121

University Health System, Inc

2.8 mi

Family Medicine

7503 S NORTHSHORE DR
Knoxville, TN 37919

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

NPI 1043318900 (865) 531-1300

University Anesthesiologists, PLLC

4.6 mi

Anesthesiology

1924 ALCOA HWY, BOX U109
Knoxville, TN 37920

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

NPI 1558479279 (865) 305-9220

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 4

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.

196 services146 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.

33 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440009

Location421 S Main StCrossville, TN 38555 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 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 20

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

ANDREA KATHRYN KOTTMEIER

Nurse Anesthetist, Certified Registered

1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909

Knox County (865) 588-5121

JENNIFER CHANCEY UNGER PA-C

Physician Assistant

1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909

Knox County (865) 588-5121

TEJAL MISTRY MD

Internal Medicine (Gastroenterology)

1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909

Knox County (865) 588-5121

BARRY VICTOR MAVES MD

Internal Medicine (Gastroenterology)

1311 DOWELL SPRINGS BLVD, SUITE 300
KNOXVILLE, TN 37909

Knox County (865) 588-5121

JOSEPH MICHAEL FREEMAN CRNA

Nurse Anesthetist, Certified Registered

1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909

Knox County (865) 588-5121

SHELBY BASS PA-C

Physician Assistant

1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909

Knox County (865) 588-5121

JOHN MATTHEW MOORE M.D.

Internal Medicine (Gastroenterology)

1311 DOWELL SPRINGS BLVD, SUITE 300
KNOXVILLE, TN 37909

Knox County (865) 588-5121

ANEITHA PRATT DNP

Nurse Practitioner (Family)

1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909

Knox County (865) 588-5121

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 Mark Mcafee's NPI number?

The NPI number for Mark Mcafee is 1487410122. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Where is Mark Mcafee located?

Mark Mcafee practices at 1311 Dowell Springs Blvd, Knoxville, TN 37909. The listed phone number is (865) 588-5121.

What is Mark Mcafee's specialty?

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

Is Mark Mcafee enrolled in Medicare?

Yes. Mark Mcafee 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 Mark Mcafee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mcafee reassigns Medicare benefits to 3 organizations: Gastrointestinal Associates, PC (Knoxville, TN), University Health System, Inc (Knoxville, TN) and University Anesthesiologists, PLLC (Knoxville, TN). 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 Mark Mcafee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Mcafee accept?

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

According to CMS data, Mark Mcafee is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Mcafee was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.