MELISSA BROOME APRN
NPI 1811394638
Nurse Practitioner - Family in Kingsport, TN

Active since November 21, 2014PECOS EnrolledAccepts Medicare Assignment
130 W RAVINE RD, KINGSPORT, TN 37660(423) 534-0393 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2024, Feb 24, 2021 (2 updates tracked since 2021).

About Melissa Broome Aprn NPPES

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

MELISSA BROOME APRN (NPI 1811394638) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (APN0000028355) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1811394638
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA BROOMECredential: APRN
Location Address130 W RAVINE RDKingsport, TN 37660-3837
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 21, 2014
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1811394638 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 · APN0000028355
Also ListedRegistered NurseTaxonomy 163W00000X · License RN0000195290 (TN)
130 W RAVINE RD, Kingsport, TN 37660

Secondary Practice Locations 7

Location 198 15th St NW Ste 207Norton, VA 24273-1600 · Phone (276) 439-1295
Location 21 Medical Park Blvd Ste 210EBristol, TN 37620-7468 · Phone (423) 844-5500
Location 32202 N John B Dennis Hwy Ste 110Kingsport, TN 37660-5904 · Phone (423) 578-8400
Location 42000 Brookside DrKingsport, TN 37660-4627 · Phone (423) 857-7000
Location 51 Medical Park Blvd Ste 3WBristol, TN 37620-7430 · Phone (423) 844-5583
Location 616000 Johnston Memorial DrAbingdon, VA 24211-7664 · Phone (276) 258-1000
Location 7400 N State Of Franklin RdJohnson City, TN 37604-6035 · Phone (423) 431-6111

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

Melissa Broome Aprn 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 ID4587070214
PECOS Enrollment IDI20210304000779, I20210622000241
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

3

Medicare enrollment records show Melissa Broome reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
General Practice
130 W RAVINE RD
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • 81 clinicians in this Medicare group
Internal Medicine
111 W STONE DR, SUITE 110
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
Medical Oncology
444 CLINCHFIELD ST, UNIT 201B
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • Also billed through NPI 1962434068 (Virginia)
  • 496 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 6

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.

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.
174 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
81 services47 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
37 services35 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
13 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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 20

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

Pharmacist
130 W RAVINE RD
KINGSPORT, TN 37660
General Practice
130 W RAVINE RD
KINGSPORT, TN 37660
Pharmacist
130 W RAVINE RD, WELLMONT OUTPATIENT PHARMACY
KINGSPORT, TN 37660
Occupational Therapist
130 W RAVINE RD
KINGSPORT, TN 37660
Nurse Anesthetist, Certified Registered
130 W RAVINE RD
KINGSPORT, TN 37660
Hospitalist
130 W RAVINE RD
KINGSPORT, TN 37660
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660

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 Broome's NPI number?

The NPI number for Melissa Broome is 1811394638. It was assigned to this individual provider in the NPPES registry on November 21, 2014.

Where is Melissa Broome located?

Melissa Broome practices at 130 W Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 534-0393.

What is Melissa Broome's specialty?

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

Is Melissa Broome enrolled in Medicare?

Yes. Melissa Broome 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 Melissa Broome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Broome reassigns Medicare benefits to 3 organizations: Wps Providers Inc (Kingsport, TN), Wellmont Medical Associates, Inc. (Kingsport, TN) and Blue Ridge Medical Management (Kingsport, TN). 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 Melissa Broome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Broome accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Melissa Broome 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 Broome affiliated with any hospitals?

According to CMS data, Melissa Broome is affiliated with Wellmont Bristol Regional Medical Center and Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Broome was last updated on January 3, 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.