CHERYL MIDDLETON
NPI 1851721385
Nurse Practitioner - Family in Henderson, TN

Active since November 19, 2013PECOS EnrolledAccepts Medicare Assignment
541 W PARK PL, HENDERSON, TN 38340(731) 989-1007(731) 989-0704 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2022, Dec 14, 2021, Jan 30, 2020 and 1 more (4 updates tracked since 2015).

About Cheryl Middleton NPPES

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

CHERYL MIDDLETON (NPI 1851721385) is an individual family provider in Henderson, Tennessee, licensed in Tennessee (18323) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1851721385
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHERYL MIDDLETON
Location Address541 W PARK PLHenderson, TN 38340-2027
Mailing Address541 W Park PlHenderson, TN 38340-2027 · (731) 989-1007 · Fax (731) 989-0704
Fax(731) 989-0704
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 19, 2013
Last NPPES UpdateDecember 29, 20234 updates tracked since enumeration
NPPES CertifiedDecember 29, 2023
NPI 1851721385 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 · 18323
Also ListedRegistered NurseTaxonomy 163W00000X · License RN0000145726 (TN)
541 W PARK PL, Henderson, TN 38340

Accepted 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

Cheryl Middleton 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 ID6709017189
PECOS Enrollment IDI20140327002209
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.

Areas of Expertise CMS Part B claims 2

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.

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
63 services41 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
53 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Henderson County Community Hospital

Acute Care Hospitals · Lexington, TN
OwnershipProprietary
CMS Certification Number440008
Location200 W Church StLexington, TN 38351 · Henderson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38340 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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers20 claims38 services$5.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims14 services$1.13 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers12 claims23 services$1.66 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
2 suppliers33 claims33 services$12.50 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers58 claims59 services$61.80 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
3 suppliers26 claims26 services$54.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
541 W PARK PL
HENDERSON, TN 38340
Social Worker (Clinical)
541 W PARK PL
HENDERSON, TN 38340
Nurse Practitioner (Family)
541 W PARK PL
HENDERSON, TN 38340
Nurse Practitioner (Family)
541 W PARK PL
HENDERSON, TN 38340
Clinic/Center (Rural Health)
541 W PARK PL
HENDERSON, TN 38340
Social Worker (Clinical)
541 W PARK PL
HENDERSON, TN 38340
Social Worker
541 W PARK PL, STE C
HENDERSON, TN 38340
Clinic/Center (Rural Health)
541 W PARK PL, SUITE C
HENDERSON, TN 38340

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 Cheryl Middleton's NPI number?

The NPI number for Cheryl Middleton is 1851721385. It was assigned to this individual provider in the NPPES registry on November 19, 2013.

Where is Cheryl Middleton located?

Cheryl Middleton practices at 541 W Park Pl, Henderson, TN 38340. The listed phone number is (731) 989-1007.

What is Cheryl Middleton's specialty?

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

Is Cheryl Middleton enrolled in Medicare?

Yes. Cheryl 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.

What insurance does Cheryl Middleton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Cheryl 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.

Is Cheryl Middleton affiliated with any hospitals?

According to CMS data, Cheryl Middleton is affiliated with Jackson-Madison County General Hospital and Henderson County Community Hospital.

When was this NPI record last updated?

The NPPES record for Cheryl Middleton was last updated on December 29, 2023. 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.