HOPE VICTORIA LEDGER APRN, FNP-BC
NPI 1871226878
Nurse Practitioner - Family in Hixson, TN

Active since July 06, 2022PECOS EnrolledAccepts Medicare Assignment
4490 HIXSON PIKE, HIXSON, TN 37343(423) 875-0700 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2026, Jul 6, 2022 (2 updates tracked since 2022).

About Hope Victoria Ledger Aprn, Fnp-bc NPPES

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

HOPE VICTORIA LEDGER APRN, FNP-BC (NPI 1871226878) is an individual family provider in Hixson, Tennessee, licensed in Tennessee (32110) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871226878
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOPE VICTORIA LEDGERCredential: APRN, FNP-BC
Location Address4490 HIXSON PIKEHixson, TN 37343-5055
Mailing Address4490 Hixson PikeHixson, TN 37343-5055 · (423) 875-0700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 6, 2022
Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1871226878 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 · 32110
Also ListedNurse PractitionerTaxonomy 363L00000X · License 32110 (TN)
4490 HIXSON PIKE, Hixson, TN 37343

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

Hope Victoria Ledger Aprn, Fnp-bc 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 ID6800254194
PECOS Enrollment IDI20230619000949
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 Hope Ledger reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1521 GUNBARREL RD, STE 103
Chattanooga, TN 37421
  • Reassigned Medicare billing, Tennessee enrollment
  • 224 clinicians in this Medicare group
Family Medicine
2480 HWY 72 N
Loudon, TN 37774
  • Reassigned Medicare billing, Tennessee enrollment
  • 832 clinicians in this Medicare group
Family Medicine
2445 MEMORIAL BLVD
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 310 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 37343 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 4

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

Physician Assistant
4490 HIXSON PIKE
HIXSON, TN 37343
Nurse Practitioner
4490 HIXSON PIKE
HIXSON, TN 37343
Family Medicine
4490 HIXSON PIKE
HIXSON, TN 37343
Nurse Practitioner
4490 HIXSON PIKE
HIXSON, TN 37343

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 Hope Ledger's NPI number?

The NPI number for Hope Ledger is 1871226878. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Hope Ledger located?

Hope Ledger practices at 4490 Hixson Pike, Hixson, TN 37343. The listed phone number is (423) 875-0700.

What is Hope Ledger's specialty?

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

Is Hope Ledger enrolled in Medicare?

Yes. Hope Ledger 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 Hope Ledger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hope Ledger reassigns Medicare benefits to 3 organizations: Dx Mso, PLLC (Chattanooga, TN), University Health System, Inc (Loudon, TN) and Crossroads Urgent Care PLLC (Murfreesboro, 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 Hope Ledger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hope Ledger accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Hope Ledger 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 Hope Ledger was last updated on March 20, 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.