MRS. MARIANNA BOYLES BALLARD NP
NPI 1871979856
Nurse Practitioner - Acute Care in Cookeville, TN

Active since August 03, 2015PECOS EnrolledAccepts Medicare Assignment
52.37/100
CMS Quality Rating
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501(931) 783-2770(931) 525-1176 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2025, May 15, 2017, May 12, 2017 (3 updates tracked since 2017).

About Mrs. Marianna Boyles Ballard Np NPPES

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

MRS. MARIANNA BOYLES BALLARD NP (NPI 1871979856) is an individual acute care provider in Cookeville, Tennessee, licensed in Tennessee (20392) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Och Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871979856
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. MARIANNA BOYLES BALLARDCredential: NP
Location Address1 MEDICAL CENTER BLVDCookeville, TN 38501-4294
Mailing Address127 N Oak Ave, Suite DCookeville, TN 38501-2435 · (931) 783-5857 · Fax (931) 526-6760
Fax(931) 525-1176
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 3, 2015
Last NPPES UpdateApril 7, 20253 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
NPI 1871979856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TN · 20392
1 MEDICAL CENTER BLVD, Cookeville, TN 38501

Other Identifiers 3

MedicaidQ016299TN
Other6047498TN · Bcbs
Medicaid7100421080KY

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

Mrs. Marianna Boyles Ballard Np 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 ID1456660851
PECOS Enrollment IDI20180102001064
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
100 services73 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
88 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
74 services56 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
37 services35 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.
14 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Och Regional Medical Center

Acute Care Hospitals · Starkville, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250050
Location400 Hospital Road /Mail PO Box 1506Starkville, MS 39759 · Oktibbeha County
Emergency services Birthing friendly

Clay County Medical Corporation

Acute Care Hospitals · West Point, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250067
Location150 Medical Center DriveWest Point, MS 39773 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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.

52.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality31.38
Improvement Activities40
Cost34.97

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims24 services$16.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims24 services$85.55 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 20

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

Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Hospitalist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Internal Medicine
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Occupational Therapist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Nurse Practitioner (Acute Care)
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Pharmacist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501

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 Marianna Ballard's NPI number?

The NPI number for Marianna Ballard is 1871979856. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Marianna Ballard located?

Marianna Ballard practices at 1 Medical Center Blvd, Cookeville, TN 38501. The listed phone number is (931) 783-2770.

What is Marianna Ballard's specialty?

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

Is Marianna Ballard enrolled in Medicare?

Yes. Marianna Ballard 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 Marianna Ballard accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Marianna Ballard 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 Marianna Ballard affiliated with any hospitals?

According to CMS data, Marianna Ballard is affiliated with Och Regional Medical Center and Clay County Medical Corporation.

When was this NPI record last updated?

The NPPES record for Marianna Ballard was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.