MR. MICHAEL CHAD ODLE (F.N.P.) – Family Nurse Practitioner, NPI 1295722114

MR. MICHAEL CHAD ODLE (F.N.P.) is a healthcare provider. based in Union city, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials F.N.P.. They hold a License No. 0000106893 (TN). The NPI Number for MR. MICHAEL CHAD ODLE (F.N.P.) is 1295722114

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL CHAD ODLE (F.N.P.)
NPI
1295722114
Phone
(731) 885-8282
Address
1229 S. FIRST STREET
Enumeration Date
5 October 2005
Last Update Date
1 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7318858282
Graduation Year
1999 (27 years ago)
PAC ID
9032187695
Group Practice PAC ID
3678517836
Professional Enrollment ID
I20040921000989
Address ID
TN382615432UN1012XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

Provider Addresses for MR. MICHAEL CHAD ODLE (F.N.P.)

  • 1229 S. FIRST STREET

    UNION CITY, TN 38261

    Phone: (731) 885-8282

    Fax: (731) 885-1998

    Type: Location

  • PO BOX 307

    UNION CITY, TN 382810307

    Phone: (731) 885-8282

    Fax: (731) 885-1998

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040921000989INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38261)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678517836View full group profile
NameSpecialtyState
Physician AssistantTN

Reviews

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Frequently asked questions

How do payers reference MR. MICHAEL CHAD ODLE (F.N.P.)?
For MR. MICHAEL CHAD ODLE (F.N.P.), use NPI 1295722114 as the unique 10-digit identifier.
Active or inactive — what applies to MR. MICHAEL CHAD ODLE (F.N.P.)?
You should see MR. MICHAEL CHAD ODLE (F.N.P.) as active in CMS-hosted NPPES data.
What kind of doctor is MR. MICHAEL CHAD ODLE (F.N.P.)?
MR. MICHAEL CHAD ODLE (F.N.P.) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Tennessee is MR. MICHAEL CHAD ODLE (F.N.P.) registered?
Use Union City, Tennessee as the headline location for MR. MICHAEL CHAD ODLE (F.N.P.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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