STACYE JETER APN
NPI 1205050770
Nurse Anesthetist, Certified Registered in Paris, TN

Active since April 13, 2007Accepts Medicare Assignment
301 TYSON AVE, PARIS, TN 38242(731) 644-1220 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacye Jeter Apn NPPES

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

STACYE JETER APN (NPI 1205050770) is an individual nurse anesthetist, certified registered in Paris, Tennessee, licensed in Tennessee (0000012607) and active in the NPI registry since April 2007. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1205050770
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTACYE JETERCredential: APN
Location Address301 TYSON AVEParis, TN 38242-4544
Mailing Address301 Tyson AvenueParis, TN 38242
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 13, 2007
Last NPPES UpdateMay 13, 2014
✔ NPI 1205050770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · 0000012607
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
301 TYSON AVE, Paris, TN 38242

Accepted 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

Stacye Jeter Apn 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 ID6305019035
PECOS Enrollment IDI20111025000614

Medicare Billing Reassignments

4

Medicare enrollment records show Stacye Jeter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
301 TYSON AVE
Paris, TN 38242
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Henry County Medical Center
  • 83 clinicians in this Medicare group
Anesthesiology
1559 SPARTA ST
Mcminnville, TN 37110
  • Reassigned Medicare billing, Tennessee enrollment
  • 75 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: American Anesthesiology Of Tennessee PC
  • 959 clinicians in this Medicare group
Anesthesiology
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 238 clinicians in this Medicare group

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.

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38242 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

Registered Nurse (Registered Nurse First Assistant)
301 TYSON AVE
PARIS, TN 38242
Student in an Organized Health Care Education/Training Program
301 TYSON AVE
PARIS, TN 38242
Dietitian, Registered
301 TYSON AVE
PARIS, TN 38242
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
301 TYSON AVE, SUITE 104
PARIS, TN 38242
Hospitalist
301 TYSON AVE
PARIS, TN 38242
Nurse Anesthetist, Certified Registered
301 TYSON AVE
PARIS, TN 38242
Emergency Medicine
301 TYSON AVE
PARIS, TN 38242
Emergency Medicine (Emergency Medical Services)
301 TYSON AVE, HENRY COUNTY MEDICAL CENTER EMERGENCY DE
PARIS, TN 38242

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 Stacye Jeter's NPI number?

The NPI number for Stacye Jeter is 1205050770. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Stacye Jeter located?

Stacye Jeter practices at 301 Tyson Ave, Paris, TN 38242. The listed phone number is (731) 644-1220.

What is Stacye Jeter's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Stacye Jeter enrolled in Medicare?

Yes. Stacye Jeter 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 organizations bill Medicare for Stacye Jeter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacye Jeter reassigns Medicare benefits to 4 organizations: West Tennessee Healthcare Henry County (Paris, TN), Northstar Anesthesia Of Tennessee, PLLC (Mcminnville, TN), American Anesthesiology Of Tennessee, P.C. (Knoxville, TN) and Lifelinc Anesthesia Viii PLLC (Newport, TN). Each 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 Stacye Jeter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacye Jeter accept?

Health plans from Cigna Healthcare list Stacye Jeter 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 Stacye Jeter was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.