SUSAN MICHELE BARLOW FNP
NPI 1689110108
Nurse Practitioner - Family in Knoxville, TN

Active since January 08, 2017PECOS EnrolledAccepts Medicare Assignment
61.2/100
CMS Quality Rating
8635 MIDDLEBROOK PIKE, KNOXVILLE, TN 37923(865) 824-0079(833) 908-2101 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2023, Jan 8, 2017 (2 updates tracked since 2017).

About Susan Michele Barlow Fnp NPPES

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

SUSAN MICHELE BARLOW FNP (NPI 1689110108) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (31774) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dunedin, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689110108
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN MICHELE BARLOWCredential: FNP
Location Address8635 MIDDLEBROOK PIKEKnoxville, TN 37923-1612
Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747
Fax(833) 908-2101
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 8, 2017
Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
NPI 1689110108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 31774
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License ARNP9220491 (FL)
8635 MIDDLEBROOK PIKE, Knoxville, TN 37923

Secondary Practice Location 1

Location 12194 Main St, Suite IDunedin, FL 34698-5696 · Phone (727) 796-2904 · Fax (727) 796-2965

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan Michele Barlow 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 ID7113201609
PECOS Enrollment IDI20230727003508
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.

Areas of Expertise CMS Part B claims 7

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
160 services16 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.
56 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
20 services20 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services17 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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.

61.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.69
Improvement Activities40
Cost70.24

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.

Nurse Practitioner
8635 MIDDLEBROOK PIKE
KNOXVILLE, TN 37923
Physician Assistant (Medical)
8635 MIDDLEBROOK PIKE
KNOXVILLE, TN 37923
Nurse Practitioner (Family)
8635 MIDDLEBROOK PIKE
KNOXVILLE, TN 37923
Nurse Practitioner (Family)
8635 MIDDLEBROOK PIKE
KNOXVILLE, TN 37923
Nurse Practitioner (Family)
8635 MIDDLEBROOK PIKE
KNOXVILLE, TN 37923
Nurse Practitioner (Pediatrics)
8635 MIDDLEBROOK PIKE
KNOXVILLE, TN 37923
Nurse Practitioner (Family)
8635 MIDDLEBROOK PIKE
KNOXVILLE, TN 37923
Nurse Practitioner (Family)
8635 MIDDLEBROOK PIKE
KNOXVILLE, TN 37923

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 Susan Barlow's NPI number?

The NPI number for Susan Barlow is 1689110108. It was assigned to this individual provider in the NPPES registry on January 8, 2017.

Where is Susan Barlow located?

Susan Barlow practices at 8635 Middlebrook Pike, Knoxville, TN 37923. The listed phone number is (865) 824-0079.

What is Susan Barlow's specialty?

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

Is Susan Barlow enrolled in Medicare?

Yes. Susan Barlow 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.

What insurance does Susan Barlow accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Susan Barlow 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 Susan Barlow was last updated on February 14, 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.