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TONYA S MCCARROLL PMHNP-BC
NPI 1497529010
Nurse Practitioner - Psychiatric/Mental Health in Knoxville, TN

Active since November 14, 2023PECOS EnrolledAccepts Medicare Assignment
11840 KINGSTON PIKE STE B, KNOXVILLE, TN 37934(865) 588-3173 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2026, Nov 14, 2023 (2 updates tracked since 2023).

About Tonya S Mccarroll Pmhnp-bc NPPES

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

TONYA S MCCARROLL PMHNP-BC (NPI 1497529010) is an individual psychiatric/mental health provider in Knoxville, Tennessee, licensed in Tennessee (35082) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1497529010
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTONYA S MCCARROLLCredential: PMHNP-BC
Location Address11840 KINGSTON PIKE STE BKnoxville, TN 37934-3861
Mailing Address11840 Kingston Pike Ste BKnoxville, TN 37934-3861 · (865) 588-3173 · Fax (615) 369-8697
Phone(865) 588-3173
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 14, 2023
Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1497529010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 35082
11840 KINGSTON PIKE STE B, Knoxville, TN 37934
Open in Google Maps ↗

Other Names 1

Former Name (1)Tonya Suzette Tapp

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

Tonya S Mccarroll Pmhnp-bc 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 ID3870030729
PECOS Enrollment IDI20240808004508
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 Tonya Mccarroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthy Mind Counseling Services, Inc
10 mi
Clinical
6305 LONAS DR STE 101
Knoxville, TN 37909
  • Reassigned Medicare billing, Tennessee enrollment
  • 161 clinicians in this Medicare group
NPI 1457409898 (865) 588-3173

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 37934 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 17

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

DR. SHANNON K. HAYS PH.D.
Psychologist
11840 KINGSTON PIKE STE B
KNOXVILLE, TN 37934
Knox County (865) 588-3173
MRS. JAMIE MICHELLE HARVEY LCSW
Social Worker (Clinical)
11840 KINGSTON PIKE STE B
KNOXVILLE, TN 37934
Knox County (865) 588-3173
CHRISTINA SHELLEY LCSW
Social Worker (Clinical)
11840 KINGSTON PIKE STE B
KNOXVILLE, TN 37934
Knox County (865) 588-3173
TRACINA CROSS LPC
Counselor (Professional)
11840 KINGSTON PIKE STE B
KNOXVILLE, TN 37934
Knox County (865) 588-3173
MARK S. KRYTER LCSW
Social Worker (Clinical)
11840 KINGSTON PIKE STE B
KNOXVILLE, TN 37934
Knox County (865) 588-3173
DR. CARLY ANN CHWAT PH.D.
Psychologist (Clinical)
11840 KINGSTON PIKE STE B
KNOXVILLE, TN 37934
Knox County (865) 588-3173
MARISSA LEAH PENN LCSW
Social Worker (Clinical)
11840 KINGSTON PIKE STE B
KNOXVILLE, TN 37934
Knox County (865) 588-3173
DIANA BICIUSCA LPC
Counselor (Professional)
11840 KINGSTON PIKE STE B
KNOXVILLE, TN 37934
Knox County (865) 588-3173

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 Tonya Mccarroll's NPI number?

The NPI number for Tonya Mccarroll is 1497529010. It was assigned to this individual provider in the NPPES registry on November 14, 2023. The provider is also known as Tonya Suzette Tapp.

Where is Tonya Mccarroll located?

Tonya Mccarroll practices at 11840 Kingston Pike Ste B, Knoxville, TN 37934. The listed phone number is (865) 588-3173.

What is Tonya Mccarroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tonya Mccarroll enrolled in Medicare?

Yes. Tonya Mccarroll 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 Tonya Mccarroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Mccarroll reassigns Medicare benefits to Healthy Mind Counseling Services, Inc (Knoxville, 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 Tonya Mccarroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Mccarroll accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Tonya Mccarroll 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 Tonya Mccarroll was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.