MICHELLE TOUGH
NPI 1851678817
Nurse Practitioner - Acute Care in Nashville, TN

Q: What is Michelle Tough's NPI number?

The NPI number for Michelle Tough is 1851678817. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Q: What is Michelle Tough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Tough was last updated on March 14, 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.

Active since November 04, 2011PECOS EnrolledAccepts Medicare Assignment

97.12/100

CMS Quality Rating

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 936-2000 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2020, Sep 2, 2020, Mar 5, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Michelle Tough NPPES

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

MICHELLE TOUGH (NPI 1851678817) is an individual acute care provider in Nashville, Tennessee, licensed in Tennessee (25322) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Martinsville.

NPPES Registry Identity

NPI1851678817

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMICHELLE TOUGH

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000

Phone(615) 936-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 4, 2011

Last NPPES UpdateMarch 14, 20224 updates tracked since enumeration

NPPES CertifiedMarch 14, 2022

✔ NPI 1851678817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TN · 25322

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License RN234660 (GA)

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Open in Google Maps ↗

Secondary Practice Location 1

Location 1320 Hospital DrMartinsville, VA 24112 · Phone (276) 666-7200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Tough 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 ID2668633884

PECOS Enrollment IDI20200331003833

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.

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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.

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.

97.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.64

Promoting Interoperability

100

Improvement Activities

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.

DR. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)