MELISSA BAINES APN
NPI 1699743039
Nurse Practitioner - Family in Jackson, TN

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
92.46/100
CMS Quality Rating
27A MEDICAL CENTER DR, JACKSON, TN 38301(731) 424-1001 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melissa Baines Apn NPPES

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

MELISSA BAINES APN (NPI 1699743039) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (6416) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1699743039
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA BAINESCredential: APN
Location Address27A MEDICAL CENTER DRJackson, TN 38301-3949
Mailing AddressPo Box 381468Germantown, TN 38183-1468
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 10, 2006
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
NPI 1699743039 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 · 6416
27A MEDICAL CENTER DR, Jackson, TN 38301

Other Identifiers 2

MedicaidQ016389TN
Medicaid3905669TN

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

Melissa Baines Apn 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 ID7012050289
PECOS Enrollment IDI20100210000434
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.

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.
220 services220 patients
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.
158 services145 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
146 services120 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.
111 services99 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.
29 services29 patients
Ultrasound scan of organ tissue for measuring elasticity 76981
An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440072
Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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.

92.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.41
Promoting Interoperability100
Improvement Activities40
Cost84.45

Reported Quality Measures

e-Prescribing
99%485 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%726 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

Internal Medicine (Gastroenterology)
27A MEDICAL CENTER DR
JACKSON, TN 38301
Nurse Anesthetist, Certified Registered
27A MEDICAL CENTER DR
JACKSON, TN 38301
Nurse Anesthetist, Certified Registered
27A MEDICAL CENTER DR
JACKSON, TN 38301
Nurse Practitioner
27A MEDICAL CENTER DR
JACKSON, TN 38301
Nurse Practitioner (Family)
27A MEDICAL CENTER DR
JACKSON, TN 38301
Internal Medicine (Gastroenterology)
27A MEDICAL CENTER DR
JACKSON, TN 38301
Internal Medicine (Gastroenterology)
27A MEDICAL CENTER DR
JACKSON, TN 38301
Nurse Practitioner (Family)
27A MEDICAL CENTER DR
JACKSON, TN 38301

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 Melissa Baines's NPI number?

The NPI number for Melissa Baines is 1699743039. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Melissa Baines located?

Melissa Baines practices at 27A Medical Center Dr, Jackson, TN 38301. The listed phone number is (731) 424-1001.

What is Melissa Baines's specialty?

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

Is Melissa Baines enrolled in Medicare?

Yes. Melissa Baines 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 Melissa Baines accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Melissa Baines 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 Melissa Baines affiliated with any hospitals?

According to CMS data, Melissa Baines is affiliated with Jackson-Madison County General Hospital and Dyersburg Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Baines was last updated on February 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.