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IVY TIDWELL PROTHRO FNP-BC
NPI 1811529381
Nurse Practitioner - Family in Franklin, TN

Active since February 12, 2020PECOS Enrolled
1400 LIBERTY PIKE STE 1000, FRANKLIN, TN 37067(615) 807-0497 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2026, Feb 12, 2020 (2 updates tracked since 2020).

About Ivy Tidwell Prothro Fnp-bc NPPES

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

IVY TIDWELL PROTHRO FNP-BC (NPI 1811529381) is an individual family provider in Franklin, Tennessee, licensed in Tennessee (36032) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brentwood.

NPPES Registry Identity

NPI1811529381
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIVY TIDWELL PROTHROCredential: FNP-BC
Location Address1400 LIBERTY PIKE STE 1000Franklin, TN 37067-8636
Mailing Address1400 Liberty Pike Ste 1000Franklin, TN 37067-8636 · (615) 807-0497
Phone(615) 807-0497
Sole ProprietorYes
Enumeration DateFebruary 12, 2020
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1811529381 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 · 36032
1400 LIBERTY PIKE STE 1000, Franklin, TN 37067
Open in Google Maps ↗

Secondary Practice Location 1

Location 11624 Westgate Cir Ste 150Brentwood, TN 37027-8054 · Phone (615) 988-8077

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Tidwell Prothro Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ivy Prothro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kelly Goodman Np & Associates PC
571 mi
Primary Care
4701 SANGAMORE ROAD, SUITE S207
Bethesda, MD 20816
  • Reassigned Medicare billing, District of Columbia enrollment
  • 11 clinicians in this Medicare group
NPI 1740503689 (202) 684-7167

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.
67 services64 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.
60 services49 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
38 services12 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
24 services20 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
17 services17 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 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.

IVY SKIN STUDIO LLC
Nurse Practitioner
1400 LIBERTY PIKE STE 1000
FRANKLIN, TN 37067
Williamson County (615) 471-8525

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 Ivy Prothro's NPI number?

The NPI number for Ivy Prothro is 1811529381. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Ivy Prothro located?

Ivy Prothro practices at 1400 Liberty Pike Ste 1000, Franklin, TN 37067. The listed phone number is (615) 807-0497.

What is Ivy Prothro's specialty?

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

Is Ivy Prothro enrolled in Medicare?

Yes. Ivy Prothro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivy Prothro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Prothro reassigns Medicare benefits to Kelly Goodman Np & Associates PC (Bethesda, MD). 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 Ivy Prothro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ivy Prothro was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.