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LORI A MIDDLETON NP
NPI 1780631945
Nurse Practitioner in Hendersonville, TN

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
208 STERLING RD, HENDERSONVILLE, TN 37075(615) 477-2133 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lori A Middleton Np NPPES

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

LORI A MIDDLETON NP (NPI 1780631945) is an individual nurse practitioner in Hendersonville, Tennessee, licensed in Tennessee (7711) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1780631945
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORI A MIDDLETONCredential: NP
Location Address208 STERLING RDHendersonville, TN 37075-5329
Mailing Address208 Sterling RdHendersonville, TN 37075-5329 · (615) 477-2133
Phone(615) 477-2133
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 31, 2006
Last NPPES UpdateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1780631945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 7711
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
208 STERLING RD, Hendersonville, TN 37075
Open in Google Maps ↗

Other Names 1

Former Name (1)Lori A Mckellar

Other Identifiers 1

Medicaid3903134TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company, UnitedHealthcare.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

Lori A Middleton Np 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 ID5395728174
PECOS Enrollment IDI20040611000663
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 Reassignments

6

Medicare enrollment records show Lori Middleton reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Medicine Services Of Tn, LLC
13 mi
Hospitalist
2300 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 420 clinicians in this Medicare group
NPI 1982301065 (615) 342-1001
Psymed Consultants
28 mi
Family Medicine
2933 MEDICAL CENTER PKWY STE A
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 15 clinicians in this Medicare group
NPI 1366242109 (615) 257-5601
Top Medical Group PC
28 mi
Internal Medicine
2933 MEDICAL CENTER PKWY STE A
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 12 clinicians in this Medicare group
NPI 1740931252 (615) 257-5601
Cs Pacs 3 Southeast, LLC
307 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Tennessee enrollment
  • 227 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
Advanced Healthcare Integration LLC
653 mi
Multi-Specialty
3270 SUNTREE BLVD STE 208
Melbourne, FL 32940
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
NPI 1821696766 (321) 622-4877
Nv Pacs 2 LLC
1,598 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Tennessee enrollment
  • 253 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
428 services82 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
134 services66 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
91 services89 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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.

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 Lori Middleton's NPI number?

The NPI number for Lori Middleton is 1780631945. It was assigned to this individual provider in the NPPES registry on May 31, 2006. The provider is also known as Lori A Mckellar.

Where is Lori Middleton located?

Lori Middleton practices at 208 Sterling Rd, Hendersonville, TN 37075. The listed phone number is (615) 477-2133.

What is Lori Middleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lori Middleton enrolled in Medicare?

Yes. Lori Middleton 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 organizations bill Medicare for Lori Middleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Middleton reassigns Medicare benefits to 6 organizations: Hospital Medicine Services Of Tn, LLC (Nashville, TN), Psymed Consultants (Murfreesboro, TN), Top Medical Group PC (Murfreesboro, TN), Cs Pacs 3 Southeast, LLC (Bluefield, WV), Advanced Healthcare Integration LLC (Melbourne, FL) and 1 more organization, listed in the Medicare section above. Each 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 Lori Middleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Middleton accept?

Health plans from Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Lori Middleton 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 Lori Middleton was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.