TY TAUBENHEIM NP
NPI 1902404080
Nurse Practitioner in Oak Ridge, TN

Q: What is Ty Taubenheim's NPI number?

The NPI number for Ty Taubenheim is 1902404080. It was assigned to this individual provider in the NPPES registry on October 12, 2020.

Q: What is Ty Taubenheim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ty Taubenheim was last updated on April 30, 2024. 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.

Active since October 12, 2020PECOS EnrolledAccepts Medicare Assignment

961 OAK RIDGE TPKE, OAK RIDGE, TN 37830(865) 690-4861(865) 483-3807 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2024, Aug 10, 2021, Oct 12, 2020 (3 updates tracked since 2020).

On this page

About Ty Taubenheim Np NPPES

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

TY TAUBENHEIM NP (NPI 1902404080) is an individual nurse practitioner in Oak Ridge, Tennessee, licensed in Tennessee (28201) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Oak Ridge, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902404080

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameTY TAUBENHEIMCredential: NP

Location Address961 OAK RIDGE TPKEOak Ridge, TN 37830-8832

Mailing AddressPo Box 306556Nashville, TN 37230-6556 · (865) 694-0062 · Fax (865) 694-7907

Phone(865) 690-4861

Fax(865) 483-3807

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 12, 2020

Last NPPES UpdateApril 30, 20243 updates tracked since enumeration

NPPES CertifiedApril 30, 2024

✔ NPI 1902404080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 28201

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

961 OAK RIDGE TPKE, Oak Ridge, TN 37830

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Ty Taubenheim 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 ID7719399401

PECOS Enrollment IDI20201222002769

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

Medicare enrollment records show Ty Taubenheim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tennessee Orthopaedic Alliance PA

Same address

Orthopaedic Surgery

961 OAK RIDGE TPKE
Oak Ridge, TN 37830

Reassigned Medicare billing, Tennessee enrollment
365 clinicians in this Medicare group

NPI 1851988513 (865) 483-1906

Cherokee Health Systems

48 mi

Federally Qualified Health Center (FQHC)

6350 W ANDREW JOHNSON HWY
Talbott, TN 37877

Reassigned Medicare billing, Tennessee enrollment
257 clinicians in this Medicare group

NPI 1134128820 (423) 587-7337

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 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.

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.

21 services21 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440034

Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County

Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440125

Location1901 W Clinch AveKnoxville, TN 37916 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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 11

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

JENNIFER CORNELLISON RN

Registered Nurse