MRS. STACY MARIA PEMBERTON NP
NPI 1063241438
Nurse Practitioner - Psychiatric/Mental Health in Sequatchie, TN
About Mrs. Stacy Maria Pemberton Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACY MARIA PEMBERTON NP (NPI 1063241438) is an individual psychiatric/mental health provider in Sequatchie, Tennessee, licensed in Tennessee (36877) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brentwood, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Accepted 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
Mrs. Stacy Maria Pemberton 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Stacy Pemberton's NPI number?
The NPI number for Stacy Pemberton is 1063241438. It was assigned to this individual provider in the NPPES registry on August 1, 2024. The provider is also known as Mrs. Stacy Maria Green Np.
Where is Stacy Pemberton located?
Stacy Pemberton practices at 298 Sequatchie Mountain Rd, Sequatchie, TN 37374. The listed phone number is (423) 605-7415.
What is Stacy Pemberton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Stacy Pemberton enrolled in Medicare?
Yes. Stacy Pemberton 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.
What insurance does Stacy Pemberton accept?
Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Stacy Pemberton 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 Stacy Pemberton was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Mrs. Stacy Maria Pemberton, NP · NPI 1063241438
Psychiatric/Mental Health physician in Sequatchie, Tennessee. Individual provider, active in the CMS NPPES registry since August 1, 2024.
## Identity
- **NPI:** 1063241438 (Entity type: Individual)
- **Enumerated:** August 1, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 36877 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 298 SEQUATCHIE MOUNTAIN RD, Sequatchie, TN 37374-5000
- **Phone:** (423) 605-7415
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063241438) · Data from the CMS NPPES public registry.