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MELANIE CREPPEL BOURGEOIS FNP
NPI 1497220214
Nurse Practitioner - Family in Kingsport, TN

Active since October 08, 2018PECOS Enrolled
4606 SUNDOWN DR, KINGSPORT, TN 37664(423) 367-3323 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Melanie Creppel Bourgeois Fnp NPPES

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

MELANIE CREPPEL BOURGEOIS FNP (NPI 1497220214) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (APN000024525) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497220214
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELANIE CREPPEL BOURGEOISCredential: FNP
Location Address4606 SUNDOWN DRKingsport, TN 37664-6913
Mailing Address4606 Sundown DrKingsport, TN 37664-6913 · (423) 367-3323
Phone(423) 367-3323
Sole ProprietorYes
Enumeration DateOctober 8, 2018
✔ NPI 1497220214 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 TN · APN000024525
4606 SUNDOWN DR, Kingsport, TN 37664
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

Community Care Health Network LLC
241 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Mississippi and Ohio enrollments
  • 195 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627
Matrix Medical Plus
241 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, North Carolina, Tennessee and West Virginia enrollments
  • 27 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627
Matrix Medical Network Of West
1,673 mi
Nurse Practitioner
9201 E MOUNTAIN VIEW RD, SUITE 220
Scottsdale, AZ 85258
  • Reassigned Medicare billing, West Virginia enrollment
  • 68 clinicians in this Medicare group
NPI 1942569033 (480) 862-1700

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 37664 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 Melanie Bourgeois's NPI number?

The NPI number for Melanie Bourgeois is 1497220214. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Melanie Bourgeois located?

Melanie Bourgeois practices at 4606 Sundown Dr, Kingsport, TN 37664. The listed phone number is (423) 367-3323.

What is Melanie Bourgeois's specialty?

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

Is Melanie Bourgeois enrolled in Medicare?

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

Which organizations bill Medicare for Melanie Bourgeois's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Bourgeois reassigns Medicare benefits to 3 organizations: Community Care Health Network LLC (Nashville, TN), Matrix Medical Plus (Nashville, TN) and Matrix Medical Network Of West (Scottsdale, AZ). 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 Bourgeois's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melanie Bourgeois was last updated on October 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.