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PAULA MICHELE MARSHALL FNP-C, CWON
NPI 1891472130
Nurse Practitioner - Family in Gallatin, TN

Active since June 29, 2023PECOS EnrolledAccepts Medicare Assignment
300 STEAM PLANT RD STE 150, GALLATIN, TN 37066(615) 328-3808 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paula Michele Marshall Fnp-c, Cwon NPPES

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

PAULA MICHELE MARSHALL FNP-C, CWON (NPI 1891472130) is an individual family provider in Gallatin, Tennessee, licensed in Tennessee (F06232009) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891472130
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAULA MICHELE MARSHALLCredential: FNP-C, CWON
Location Address300 STEAM PLANT RD STE 150Gallatin, TN 37066-3062
Mailing Address1033 Bending Chestnut DrLebanon, TN 37087-5959 · (615) 630-3849
Phone(615) 328-3808
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 29, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1891472130 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 · F06232009
300 STEAM PLANT RD STE 150, Gallatin, TN 37066
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Paula Michele Marshall Fnp-c, Cwon 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 ID143682443
PECOS Enrollment IDI20230818000577
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 Paula Marshall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sumner Physician Practices LLC
Same address
Obstetrics & Gynecology
300 STEAM PLANT RD, SUITE 430
Gallatin, TN 37066
  • Reassigned Medicare billing, Tennessee enrollment
  • 110 clinicians in this Medicare group
NPI 1083953848 (615) 328-3390

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 7

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
177 services61 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
157 services54 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.
71 services43 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
33 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Highpoint Health-Riverview With Ascension Saint Th

Critical Access Hospitals · Carthage, TN
5/5 CMS rating
OwnershipProprietary
CMS Certification Number441307
Location158 Hospital DriveCarthage, TN 37030 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37066 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.

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 Paula Marshall's NPI number?

The NPI number for Paula Marshall is 1891472130. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Paula Marshall located?

Paula Marshall practices at 300 Steam Plant Rd Ste 150, Gallatin, TN 37066. The listed phone number is (615) 328-3808.

What is Paula Marshall's specialty?

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

Is Paula Marshall enrolled in Medicare?

Yes. Paula Marshall 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 organization bills Medicare for Paula Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Marshall reassigns Medicare benefits to Sumner Physician Practices LLC (Gallatin, TN). 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 Paula Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Marshall accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Paula Marshall 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 Paula Marshall affiliated with any hospitals?

According to CMS data, Paula Marshall is affiliated with Sumner Regional Medical Center and Highpoint Health-Riverview With Ascension Saint Th.

When was this NPI record last updated?

The NPPES record for Paula Marshall was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.