MIRINDA GOLTZ AGACNP-BC
NPI 1720719529
Nurse Practitioner in Powell, TN
About Mirinda Goltz Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRINDA GOLTZ AGACNP-BC (NPI 1720719529) is an individual nurse practitioner in Powell, Tennessee, licensed in Tennessee (31331) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mirinda Goltz Agacnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Mirinda Goltz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Knoxville, TN 37934
- Reassigned Medicare billing, Tennessee enrollment
- 41 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Physicians Regional Medical Center
Acute Care Hospitals · Powell, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37849 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
POWELL, TN 37849
POWELL, TN 37849
POWELL, TN 37849
POWELL, TN 37849
POWELL, TN 37849
POWELL, TN 37849
POWELL, TN 37849
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 Mirinda Goltz's NPI number?
The NPI number for Mirinda Goltz is 1720719529. It was assigned to this individual provider in the NPPES registry on June 22, 2022.
Where is Mirinda Goltz located?
Mirinda Goltz practices at 7557B Dannaher Dr Ste 225, Powell, TN 37849. The listed phone number is (865) 647-5800.
What is Mirinda Goltz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mirinda Goltz enrolled in Medicare?
Yes. Mirinda Goltz 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 Mirinda Goltz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mirinda Goltz reassigns Medicare benefits to Knoxville Hma Cardiology Ppm, LLC (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 Mirinda Goltz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mirinda Goltz accept?
Health plans from Oscar Insurance Company list Mirinda Goltz 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 Mirinda Goltz affiliated with any hospitals?
According to CMS data, Mirinda Goltz is affiliated with Physicians Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Mirinda Goltz was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mirinda Goltz, AGACNP-BC · NPI 1720719529
Nurse Practitioner physician in Powell, Tennessee. Individual provider, active in the CMS NPPES registry since June 22, 2022.
## Identity
- **NPI:** 1720719529 (Entity type: Individual)
- **Enumerated:** June 22, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 31331 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 7557B DANNAHER DR STE 225, Powell, TN 37849-3568
- **Phone:** (865) 647-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Knoxville Hma Cardiology Ppm, LLC (NPI 1275811713, Knoxville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720719529) · Data from the CMS NPPES public registry.