MICHAEL BRYANNE VILLALBA
NPI 1972121127
Nurse Practitioner in Johnson City, TN

Q: What is Michael Villalba's NPI number?

The NPI number for Michael Villalba is 1972121127. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Q: What is Michael Villalba's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Villalba was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 13, 2020PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

310 N STATE OF FRANKLIN RD STE 202, JOHNSON CITY, TN 37604(423) 929-7111(423) 929-9448 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2021, Jul 13, 2020 (2 updates tracked since 2020).

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About Michael Bryanne Villalba NPPES

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

MICHAEL BRYANNE VILLALBA (NPI 1972121127) is an individual nurse practitioner in Johnson City, Tennessee, licensed in Tennessee (29178) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Sycamore Shoals Hospital, and maintains a secondary practice location in Greeneville.

NPPES Registry Identity

NPI1972121127

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMICHAEL BRYANNE VILLALBA

Location Address310 N STATE OF FRANKLIN RD STE 202Johnson City, TN 37604-6063

Mailing Address310 N State Of Franklin Rd Ste 202Johnson City, TN 37604-6063 · (423) 929-7111 · Fax (423) 929-9448

Phone(423) 929-7111

Fax(423) 929-9448

Sole ProprietorYes

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2020

Enumeration DateJuly 13, 2020

Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1972121127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 29178

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 215795 (TN)

310 N STATE OF FRANKLIN RD STE 202, Johnson City, TN 37604

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Secondary Practice Location 1

Location 11021 Coolidge St Ste 2Greeneville, TN 37743-4672 · Phone (423) 929-7111 · Fax (423) 929-9448

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Michael Bryanne Villalba 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 ID7810304136

PECOS Enrollment IDI20210401001095

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

59 services59 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

45 services45 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

31 services14 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.

28 services28 patients

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.

20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440018

Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County

Emergency services

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

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440184

Location300 Med Tech ParkwayJohnson 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.

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.

100/100

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

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

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.

TENNESSEE VALLEY ANESTHESIA ASSOCIATES, LLC

Nurse Anesthetist, Certified Registered