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MICHAEL A. STANLEY
NPI 1164313912
Nurse Practitioner in Hendersonville, TN

Active since July 10, 2025PECOS EnrolledAccepts Medicare Assignment
355 NEW SHACKLE ISLAND RD, HENDERSONVILLE, TN 37075(615) 338-1000 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael A. Stanley NPPES

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

MICHAEL A. STANLEY (NPI 1164313912) is an individual nurse practitioner in Hendersonville, Tennessee, licensed in Tennessee (197129) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164313912
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICHAEL A. STANLEY
Location Address355 NEW SHACKLE ISLAND RDHendersonville, TN 37075-2479
Mailing Address109 Wynbrooke TrceHendersonville, TN 37075-6706 · (615) 799-8803
Phone(615) 338-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1164313912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 197129
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.
355 NEW SHACKLE ISLAND RD, Hendersonville, TN 37075
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael A. Stanley 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 ID749772317
PECOS Enrollment IDI20251120004484
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 Michael Stanley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Imc-Diagnostic And Medical Clinic LLC
397 mi
Internal Medicine
1700 SPRINGHILL AVE, SUITE 100
Mobile, AL 36604
  • Reassigned Medicare billing, Alabama enrollment
  • 210 clinicians in this Medicare group
NPI 1447201066 (251) 435-1200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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.

Other Providers at the Same Location NPPES 20

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

MOSUNMOLA ADEBOWALE ADEMOSU MD
Hospitalist
355 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075
Sumner County (615) 338-1000
RED SPRUCE EMERGENCY PHYSICIANS, LLC
Emergency Medicine
355 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075
Sumner County (469) 401-2386
VICTORIA JEAN VORHOLT MD
Emergency Medicine
355 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075
Sumner County (615) 338-1000
JORDAN BAILEY
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
355 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075
Sumner County (615) 338-1000
SALIENT EMERGENCY PHYSICIANS, PLLC
Emergency Medicine
355 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075
Sumner County (469) 401-2386
DR. MARSHALL R JOHNSON JR. MD
Internal Medicine
355 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075
Sumner County (615) 338-1000
DR. SARAH MICHELLE MACLYMAN M.D.
Anesthesiology
355 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075
Sumner County (615) 338-1000
LARISA K HELLGREN PAC
Physician Assistant
355 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075
Sumner County (615) 338-1258

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 Michael Stanley's NPI number?

The NPI number for Michael Stanley is 1164313912. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Michael Stanley located?

Michael Stanley practices at 355 New Shackle Island Rd, Hendersonville, TN 37075. The listed phone number is (615) 338-1000.

What is Michael Stanley's specialty?

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

Is Michael Stanley enrolled in Medicare?

Yes. Michael Stanley 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.

Which organization bills Medicare for Michael Stanley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Stanley reassigns Medicare benefits to Imc-Diagnostic And Medical Clinic LLC (Mobile, AL). 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 Michael Stanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Stanley accept?

Health plans from Blue Cross and Blue Shield of Alabama list Michael Stanley 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 Michael Stanley was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.