MS. DONNA CHERYLL VALADEZ FNP
NPI 1790035863
Nurse Practitioner - Family in Etowah, TN

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
723 N TENNESSEE AVE, ETOWAH, TN 37331(423) 263-2100(423) 781-7662 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 1, 2024, Jun 10, 2024 (2 updates tracked since 2024).

About Ms. Donna Cheryll Valadez Fnp NPPES

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

MS. DONNA CHERYLL VALADEZ FNP (NPI 1790035863) is an individual family provider in Etowah, Tennessee, licensed in Tennessee (APN0000016894) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1790035863
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DONNA CHERYLL VALADEZCredential: FNP
Location Address723 N TENNESSEE AVEEtowah, TN 37331-1754
Mailing AddressPo Box 808Kingston, TN 37763-0808 · (865) 224-7172 · Fax (865) 224-7171
Fax(423) 781-7662
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 14, 2012
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJune 23, 2024
✔ NPI 1790035863 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 · APN0000016894
723 N TENNESSEE AVE, Etowah, TN 37331

Secondary Practice Locations 2

Location 13959 US 411Madisonville, TN 37354 · Phone (423) 442-2121
Location 2401 W Washington AveAthens, TN 37303-3468 · Phone (423) 263-2100 · Fax (423) 781-7662

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

Ms. Donna Cheryll Valadez 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 ID9638321789
PECOS Enrollment IDI20140915001450
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

2

Medicare enrollment records show Donna Valadez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Tennessee enrollment
  • 537 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37331 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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Rural Health)
723 N TENNESSEE AVE
ETOWAH, TN 37331

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 Donna Valadez's NPI number?

The NPI number for Donna Valadez is 1790035863. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Donna Valadez located?

Donna Valadez practices at 723 N Tennessee Ave, Etowah, TN 37331. The listed phone number is (423) 263-2100.

What is Donna Valadez's specialty?

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

Is Donna Valadez enrolled in Medicare?

Yes. Donna Valadez 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 Donna Valadez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Valadez reassigns Medicare benefits to 2 organizations: Fast Pace Medical Clinic PLLC (Spring Hill, TN) and Upperline Healthcare, PC (Hoover, AL). 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 Donna Valadez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Valadez accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Donna Valadez 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 Donna Valadez was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.