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STACEY MALTMAN FNP-BC
NPI 1043694029
Nurse Practitioner - Family in Knoxville, TN

Active since July 19, 2015PECOS Enrolled
9051 EXECUTIVE PARK DR STE 500, KNOXVILLE, TN 37923(865) 337-7793(865) 240-3539 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2020, Nov 6, 2018, Feb 16, 2016 (3 updates tracked since 2016).

About Stacey Maltman Fnp-bc NPPES

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

STACEY MALTMAN FNP-BC (NPI 1043694029) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (20093) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kingston, and is a graduate of Lincoln Memorial University Medical Department (2015).

NPPES Registry Identity

NPI1043694029
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY MALTMANCredential: FNP-BC
Location Address9051 EXECUTIVE PARK DR STE 500Knoxville, TN 37923-4632
Mailing Address9051 Executive Park Dr Ste 500Knoxville, TN 37923-4632 · (865) 337-7793 · Fax (865) 240-3539
Phone(865) 337-7793
Fax(865) 240-3539
Sole ProprietorYes
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2015
Enumeration DateJuly 19, 2015
Last NPPES UpdateFebruary 26, 20203 updates tracked since enumeration
✔ NPI 1043694029 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 · 20093
9051 EXECUTIVE PARK DR STE 500, Knoxville, TN 37923
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Secondary Practice Location 1

Location 1915 Old N. Kentucky StreetKingston, TN 37763 · Phone (865) 248-8728 · Fax (865) 248-8782

Other Identifiers 1

MedicaidQ019748TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Maltman Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103128509
PECOS Enrollment IDI20161101001115
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 Reassignment

Medicare enrollment records show Stacey Maltman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maltman Medical Center LLC
Same address
Nurse Practitioner
9051 EXECUTIVE PARK DR STE 202
Knoxville, TN 37923
  • Reassigned Medicare billing, Tennessee enrollment
  • 6 clinicians in this Medicare group
NPI 1225586878 (865) 337-7793

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
53 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%20 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
63%56 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
56%97 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
40%35 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%2,288 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,561 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%470 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
48%629 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
54%629 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%629 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
25%629 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

JESSICA MITCHELL FNP
Nurse Practitioner (Family)
9051 EXECUTIVE PARK DR STE 500
KNOXVILLE, TN 37923
Knox County (865) 337-7793

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 Stacey Maltman's NPI number?

The NPI number for Stacey Maltman is 1043694029. It was assigned to this individual provider in the NPPES registry on July 19, 2015.

Where is Stacey Maltman located?

Stacey Maltman practices at 9051 Executive Park Dr Ste 500, Knoxville, TN 37923. The listed phone number is (865) 337-7793.

What is Stacey Maltman's specialty?

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

Is Stacey Maltman enrolled in Medicare?

Yes. Stacey Maltman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Maltman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Maltman reassigns Medicare benefits to Maltman Medical Center LLC (Knoxville, TN). The 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 Stacey Maltman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Maltman accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Stacey Maltman 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.

When was this NPI record last updated?

The NPPES record for Stacey Maltman was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.