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MRS. MARY ELLEN EGGER
NPI 1518039031
Nurse Practitioner - Women's Health in Nashville, TN

Active since November 14, 2006PECOS Enrolled
95.5/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37212(615) 322-3000(615) 936-0605 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Mary Ellen Egger NPPES

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

MRS. MARY ELLEN EGGER (NPI 1518039031) is an individual women's health provider in Nashville, Tennessee, licensed in Tennessee (APN0000012695) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518039031
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. MARY ELLEN EGGER
Location Address3601 THE VANDERBILT CLINICNashville, TN 37212-5100
Mailing Address3601 The Vanderbilt ClinicNashville, TN 37212-5100 · (615) 322-3000 · Fax (615) 936-0605
Phone(615) 322-3000
Fax(615) 936-0605
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
✔ NPI 1518039031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in TN · APN0000012695
3601 THE VANDERBILT CLINIC, Nashville, TN 37212
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Mary Ellen Lenaghan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Ellen Egger 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 Reassignment

Medicare enrollment records show Mary Egger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc
60 mi
Rural Health
500 CLINIC DR
Hopkinsville, KY 42240
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,441 clinicians in this Medicare group
NPI 1174091763 (270) 707-3354

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

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 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.
38 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37212 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. AMANDA SALANITRO MIXON M.D.
Internal Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37212
Davidson County (615) 322-3000
DR. JOSEPH GEORGE SALLOUM MD
Internal Medicine (Interventional Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37212
Davidson County (615) 322-3000

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 Mary Egger's NPI number?

The NPI number for Mary Egger is 1518039031. It was assigned to this individual provider in the NPPES registry on November 14, 2006. The provider is also known as Mrs. Mary Ellen Lenaghan.

Where is Mary Egger located?

Mary Egger practices at 3601 The Vanderbilt Clinic, Nashville, TN 37212. The listed phone number is (615) 322-3000.

What is Mary Egger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Mary Egger enrolled in Medicare?

Yes. Mary Egger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Egger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Egger reassigns Medicare benefits to Baptist Health Medical Group Inc (Hopkinsville, KY). 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 Mary Egger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Egger accept?

Health plans from CareSource list Mary Egger 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 Mary Egger was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.