PAULA S SPARKMAN FNP
NPI 1952396426
Nurse Practitioner - Family in Maryville, TN

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
616 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801(865) 273-0008(865) 895-4090 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paula S Sparkman Fnp NPPES

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

PAULA S SPARKMAN FNP (NPI 1952396426) is an individual family provider in Maryville, Tennessee, licensed in Tennessee (7226) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1952396426
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAULA S SPARKMANCredential: FNP
Location Address616 W LAMAR ALEXANDER PKWYMaryville, TN 37801-3904
Mailing Address616 W Lamar Alexander PkwyMaryville, TN 37801-3904 · (865) 273-0008 · Fax (865) 895-4090
Fax(865) 895-4090
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 12, 2005
Last NPPES UpdateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
NPI 1952396426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 7226
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN106279 (TN)
616 W LAMAR ALEXANDER PKWY, Maryville, TN 37801

Accepted 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

Paula S Sparkman Fnp 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 ID8527000421
PECOS Enrollment IDI20050601000214
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 10

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.

Injection, omalizumab, 5 mg J2357
Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.
4,590 services14 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,057 services16 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
1,033 services280 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
910 services30 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.
221 services192 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.
220 services40 patients

Hospital Affiliations CMS Care Compare

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37801 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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Allergy & Immunology
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Allergy & Immunology
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Podiatrist
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Allergy & Immunology
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Pediatrics
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Nurse Practitioner
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801
Pediatrics
616 W LAMAR ALEXANDER PKWY
MARYVILLE, TN 37801

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 Sparkman's NPI number?

The NPI number for Paula Sparkman is 1952396426. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Paula Sparkman located?

Paula Sparkman practices at 616 W Lamar Alexander Pkwy, Maryville, TN 37801. The listed phone number is (865) 273-0008.

What is Paula Sparkman's specialty?

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

Is Paula Sparkman enrolled in Medicare?

Yes. Paula Sparkman 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 Paula Sparkman accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Paula Sparkman 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 Sparkman affiliated with any hospitals?

According to CMS data, Paula Sparkman is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paula Sparkman was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.