MADELINE LYNNE GROTEFENDT NURSE PRACTITIONER
NPI 1912176280
Nurse Practitioner - Family in Ooltewah, TN

Q: What is Madeline Grotefendt's NPI number?

The NPI number for Madeline Grotefendt is 1912176280. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Q: What is Madeline Grotefendt's specialty?

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

Active since February 21, 2008PECOS EnrolledAccepts Medicare Assignment

94.7/100

CMS Quality Rating

6401 MOUNTAIN VIEW ROAD, SUITE 109, OOLTEWAH, TN 37363(423) 495-5951(423) 495-5999 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Madeline Lynne Grotefendt Nurse Practitioner NPPES

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

MADELINE LYNNE GROTEFENDT NURSE PRACTITIONER (NPI 1912176280) is an individual family provider in Ooltewah, Tennessee, licensed in Tennessee (6184) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1912176280

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMADELINE LYNNE GROTEFENDTCredential: NURSE PRACTITIONER

Location Address6401 MOUNTAIN VIEW ROAD, SUITE 109Ooltewah, TN 37363

Mailing Address1949 Gunbarrel Road, Suite 230Chattanooga, TN 37421 · (423) 296-0556

Phone(423) 495-5951

Fax(423) 495-5999

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateFebruary 21, 2008

Last NPPES UpdateNovember 7, 2016

✔ NPI 1912176280 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

Licenses✔ Licensed in TN · 6184✔ Licensed in TN · 74644

6401 MOUNTAIN VIEW ROAD, Ooltewah, TN 37363

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.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

Madeline Lynne Grotefendt Nurse Practitioner 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 ID9931269651

PECOS Enrollment IDI20081125000256

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 12

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

351 services146 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

271 services143 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

152 services35 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.

83 services57 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

69 services69 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

66 services38 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

31 services29 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

29 services26 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

18 services17 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

17 services16 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

14 services14 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

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.

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440104

Location975 E 3rd StChattanooga, TN 37403 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37363 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.

94.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.41

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

7 suppliers24 claims96 services$6.13 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers18 claims544 services$5.21 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers17 claims8,723 services$0.28 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 11

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

DR. WILLIAM THURMAN BATES III DO

Family Medicine

6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363

Hamilton County (423) 495-5951

DR. MARK STEVEN CRAGO M.D.

Family Medicine

6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363

Hamilton County (423) 495-5951

MICHAEL STEPHEN PIPPIN MD

Obstetrics & Gynecology

6401 MOUNTAIN VIEW ROAD, SUITE 101
OOLTEWAH, TN 37363

Hamilton County (423) 495-5890

JOEL S SMITH NP

Nurse Practitioner

6401 MOUNTAIN VIEW ROAD, SUITE 101
OOLTEWAH, TN 37363

Hamilton County (423) 495-5951

DR. CARL M ORQUIA M.D.

Family Medicine

6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363

Hamilton County (423) 495-5951

DR. JAMES W HEDDEN MD

Family Medicine

6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363

Hamilton County (423) 495-5951

DR. KENT A GROTEFENDT MD

Family Medicine

6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363

Hamilton County (423) 495-5951

DR. BRUCE W JOHNSON MD

Family Medicine

6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363

Hamilton County (423) 495-5951

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 Madeline Grotefendt's NPI number?

The NPI number for Madeline Grotefendt is 1912176280. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is Madeline Grotefendt located?

Madeline Grotefendt practices at 6401 Mountain View Road Suite 109, Ooltewah, TN 37363. The listed phone number is (423) 495-5951.

What is Madeline Grotefendt's specialty?

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

Is Madeline Grotefendt enrolled in Medicare?

Yes. Madeline Grotefendt 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 Madeline Grotefendt accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Madeline Grotefendt 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 Madeline Grotefendt affiliated with any hospitals?

According to CMS data, Madeline Grotefendt is affiliated with Memorial Healthcare System, Inc and Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Madeline Grotefendt was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.