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MR. MADISON D PETTIGREW MSN, APN, PMHNP-BC
NPI 1912211764
Nurse Practitioner - Psychiatric/Mental Health in Cordova, TN

Active since August 04, 2010PECOS EnrolledAccepts Medicare Assignment
8130 COUNTRY VILLAGE DR STE 103, CORDOVA, TN 38016(901) 308-2915(901) 308-2924 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2023, Nov 30, 2020, Oct 6, 2020 and 1 more (4 updates tracked since 2020).

About Mr. Madison D Pettigrew Msn, Apn, Pmhnp-bc NPPES

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

MR. MADISON D PETTIGREW MSN, APN, PMHNP-BC (NPI 1912211764) is an individual psychiatric/mental health provider in Cordova, Tennessee, licensed in Tennessee (28484) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912211764
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. MADISON D PETTIGREWCredential: MSN, APN, PMHNP-BC
Location Address8130 COUNTRY VILLAGE DR STE 103Cordova, TN 38016-2087
Mailing Address8130 Country Village Dr Ste 102Cordova, TN 38016-2087 · (901) 308-2915 · Fax (901) 308-2924
Phone(901) 308-2915
Fax(901) 308-2924
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 4, 2010
Last NPPES UpdateAugust 1, 20234 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
✔ NPI 1912211764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TN · 28484✔ Licensed in MS · 904213
Also ListedRegistered NurseTaxonomy 163W00000X · License 171949 (TN)
8130 COUNTRY VILLAGE DR STE 103, Cordova, TN 38016
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Other Identifiers 2

MedicaidT24221ATN
Other1I5219MS · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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

Mr. Madison D Pettigrew Msn, Apn, Pmhnp-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 ID4981014230
PECOS Enrollment IDI20201028000684, I20220607000281
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 5

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.
420 services138 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
162 services88 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
28 services21 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
14 services14 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38016 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 2

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

ANNA ELIZABETH WILLIS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
8130 COUNTRY VILLAGE DR STE 103
CORDOVA, TN 38016
Shelby County (901) 566-1002
DERRICK MEADOW APRN, PMHNP-BC, CNL
Nurse Practitioner (Psychiatric/Mental Health)
8130 COUNTRY VILLAGE DR STE 103
CORDOVA, TN 38016
Shelby County (901) 308-2915

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 Madison Pettigrew's NPI number?

The NPI number for Madison Pettigrew is 1912211764. It was assigned to this individual provider in the NPPES registry on August 4, 2010.

Where is Madison Pettigrew located?

Madison Pettigrew practices at 8130 Country Village Dr Ste 103, Cordova, TN 38016. The listed phone number is (901) 308-2915.

What is Madison Pettigrew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Madison Pettigrew enrolled in Medicare?

Yes. Madison Pettigrew 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 Madison Pettigrew accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Madison Pettigrew 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 Madison Pettigrew was last updated on August 1, 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.