Mikella B Maine, FNP - Medicare Nurse Practitioner in Johnson City, TN

Mikella B Maine, FNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Clinch River Health Services Inc and her current practice location is 301 Med Tech Pkwy Ste 240, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 794-5520.

Mikella B Maine is licensed to practice in Tennessee (license number 16877) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912255001.

Contact Information

Mikella B Maine, FNP
301 Med Tech Pkwy Ste 240,
Johnson City, TN 37604-2641
(423) 794-5520
Not Available

Map and Direction




Provider's Profile

Full NameMikella B Maine
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location301 Med Tech Pkwy Ste 240, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mikella B Maine graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1912255001
  • Provider Enumeration Date: 08/21/2012
  • Last Update Date: 05/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365691714
  • Enrollment ID: I20131023001269

Medical Identifiers

Medical identifiers for Mikella B Maine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912255001NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 144170 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 16877 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clinch River Health Services Inc67098350028

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mikella B Maine allows following entities to bill medicare on her behalf.
Entity NameClinch River Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558653741
PECOS PAC ID: 6709835002
Enrollment ID: O20050113000430

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mikella B Maine is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mikella B Maine, FNP
407 Deerfield Cir,
Church Hill, TN 37642-3423

Ph: (423) 361-2305
Mikella B Maine, FNP
301 Med Tech Pkwy Ste 240,
Johnson City, TN 37604-2641

Ph: (423) 794-5520

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, TN

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Michael David Smith, NURSE PRACTITIONER
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Shelly J Mcintosh, FNP
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Phone: 423-794-5520    Fax: 423-282-0720
Mr. Seth M Mclaughlin, FNP NP-C
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Medicare: Medicare Enrolled
Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604
Phone: 423-952-5300    Fax: 423-402-8557

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.