RACHELLE RENEE CARROLL NP
NPI 1952730145
Nurse Practitioner - Family in Johnson City, TN

Active since November 07, 2013PECOS EnrolledAccepts Medicare Assignment
410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604(423) 431-2477 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2018, Jun 21, 2017 (2 updates tracked since 2017).

About Rachelle Renee Carroll Np NPPES

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

RACHELLE RENEE CARROLL NP (NPI 1952730145) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (18121) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1952730145
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHELLE RENEE CARROLLCredential: NP
Location Address410 N STATE OF FRANKLIN RD STE 130Johnson City, TN 37604-6972
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 7, 2013
Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
✔ NPI 1952730145 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
License✔ Licensed in TN · 18121
410 N STATE OF FRANKLIN RD STE 130, Johnson City, TN 37604

Other Names 1

Former Name (1)Rachelle Mumpower Np

Secondary Practice Locations 3

Location 1130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-5109
Location 22000 Brookside DrKingsport, TN 37660-4627 · Phone (423) 857-7000
Location 31 Medical Park Blvd Ste 102WBristol, TN 37620-7430 · Phone (423) 844-1121

Accepted 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

Rachelle Renee Carroll 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 ID4880821776
PECOS Enrollment IDI20131223000539
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

2

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

Trauma Surgery
410 N STATE OF FRANKLIN RD, SUITE 130
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
Emergency Medicine
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 284 clinicians in this Medicare group

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.

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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 18

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

Plastic Surgery
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Physician Assistant
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Physician Assistant (Surgical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Physician Assistant (Medical)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN 37604

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 Rachelle Carroll's NPI number?

The NPI number for Rachelle Carroll is 1952730145. It was assigned to this individual provider in the NPPES registry on November 7, 2013. The provider is also known as Rachelle Mumpower Np.

Where is Rachelle Carroll located?

Rachelle Carroll practices at 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604. The listed phone number is (423) 431-2477.

What is Rachelle Carroll's specialty?

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

Is Rachelle Carroll enrolled in Medicare?

Yes. Rachelle Carroll 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 organizations bill Medicare for Rachelle Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachelle Carroll reassigns Medicare benefits to 2 organizations: Blue Ridge Medical Management Corporation (Johnson City, TN) and Tri-Cities Regional Emergency Physicians, PC (Johnson City, TN). Each 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 Rachelle Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachelle Carroll accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Rachelle Carroll 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 Rachelle Carroll affiliated with any hospitals?

According to CMS data, Rachelle Carroll is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Rachelle Carroll was last updated on February 27, 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.