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MS. MELISSA ERIN CAROLAN A.P.N.
NPI 1942337589
Nurse Practitioner in Cookeville, TN

Active since February 28, 2007PECOS EnrolledAccepts Medicare Assignment
406 N WHITNEY AVE STE 5, COOKEVILLE, TN 38501(931) 783-4269(931) 372-0401 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2020, Jan 6, 2020, May 15, 2017 and 1 more (4 updates tracked since 2017).

About Ms. Melissa Erin Carolan A.p.n. NPPES

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

MS. MELISSA ERIN CAROLAN A.P.N. (NPI 1942337589) is an individual nurse practitioner in Cookeville, Tennessee, licensed in Tennessee (15983) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2011).

NPPES Registry Identity

NPI1942337589
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MELISSA ERIN CAROLANCredential: A.P.N.
Location Address406 N WHITNEY AVE STE 5Cookeville, TN 38501-4243
Mailing Address4230 Harding Pike, Ste 530Nashville, TN 37205-2094 · (615) 222-5500 · Fax (615) 222-5601
Phone(931) 783-4269
Fax(931) 372-0401
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2011
Enumeration DateFebruary 28, 2007
Last NPPES UpdateFebruary 18, 20204 updates tracked since enumeration
✔ NPI 1942337589 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 · 15983
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.
406 N WHITNEY AVE STE 5, Cookeville, TN 38501
Open in Google Maps ↗

Other Identifiers 3

Medicaid7100423390KY
Other4310834TN · Bcbs
Medicaid1525896TN

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

Ms. Melissa Erin Carolan A.p.n. 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 ID6709050701
PECOS Enrollment IDI20111130000506
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 Melissa Carolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Thomas Medical Partners
72 mi
Clinical Neuropsychologist
2021 CHURCH ST, STE. 102
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,304 clinicians in this Medicare group
NPI 1558506980 (615) 284-7555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
4%69 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
31%42 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%82 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%101 patients3/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
32%145 patients2/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
22%68 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
27%81 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
11%37 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
68%145 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%145 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
10%145 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

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
3 suppliers11 claims11 services$88.66 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 4

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

CHRISTINE B. HUGHES NP
Nurse Practitioner
406 N WHITNEY AVE STE 5
COOKEVILLE, TN 38501
Putnam County (931) 783-4269
MOLLY KATE CAMPBELL
Physician Assistant
406 N WHITNEY AVE STE 5
COOKEVILLE, TN 38501
Putnam County (931) 783-4269
APRIL BERRY FNP
Nurse Practitioner
406 N WHITNEY AVE STE 5
COOKEVILLE, TN 38501
Putnam County (931) 783-4269
DR. GERALD TODD CHAPMAN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
406 N WHITNEY AVE STE 5
COOKEVILLE, TN 38501
Putnam County (931) 783-4269

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 Melissa Carolan's NPI number?

The NPI number for Melissa Carolan is 1942337589. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Melissa Carolan located?

Melissa Carolan practices at 406 N Whitney Ave Ste 5, Cookeville, TN 38501. The listed phone number is (931) 783-4269.

What is Melissa Carolan's specialty?

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

Is Melissa Carolan enrolled in Medicare?

Yes. Melissa Carolan 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 Melissa Carolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Carolan reassigns Medicare benefits to Saint Thomas Medical Partners (Nashville, 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 Melissa Carolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Carolan 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 Melissa Carolan 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 Melissa Carolan affiliated with any hospitals?

According to CMS data, Melissa Carolan is affiliated with Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Carolan was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.