1. Home
  2. Directory
  3. Tennessee
  4. Jackson
  5. Nurse Practitioner
  6. NPI Profile

MRS. STACIE K GRANTHAM CFNP
NPI 1215175278
Nurse Practitioner - Psychiatric/Mental Health in Jackson, TN

Active since January 29, 2009PECOS EnrolledAccepts Medicare Assignment
587 SKYLINE DR, JACKSON, TN 38301(731) 424-8922(731) 423-2922 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 7, 2021, Mar 23, 2017 (2 updates tracked since 2017).

About Mrs. Stacie K Grantham Cfnp NPPES

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

MRS. STACIE K GRANTHAM CFNP (NPI 1215175278) is an individual psychiatric/mental health provider in Jackson, Tennessee, licensed in Tennessee (APN13513) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1215175278
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. STACIE K GRANTHAMCredential: CFNP
Location Address587 SKYLINE DRJackson, TN 38301-3938
Mailing Address587 Skyline DrJackson, TN 38301-3938 · (731) 424-8922 · Fax (731) 423-2922
Phone(731) 424-8922
Fax(731) 423-2922
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 29, 2009
Last NPPES UpdateSeptember 7, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
✔ NPI 1215175278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · APN13513
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 13513 (TN), APN13513 (TN)
587 SKYLINE DR, Jackson, TN 38301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.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

Mrs. Stacie K Grantham Cfnp 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 ID2567510423
PECOS Enrollment IDI20090501000505
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 Reassignments

4

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

Fast Pace Mississippi, PLLC
63 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206
Fast Pace Medical Clinic PLLC
109 mi
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
NPI 1134452865 (931) 487-1006
Upperline Healthcare, PC
193 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Tennessee enrollment
  • 537 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402
Total Extended Care Services PC
383 mi
Physical Medicine & Rehabilitation
600 W NATIONAL RD
Englewood, OH 45322
  • Reassigned Medicare billing, Tennessee enrollment
  • 44 clinicians in this Medicare group
NPI 1699522029 (937) 540-0409

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 38301 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.

JOHN BAKER MD
Internal Medicine (Cardiovascular Disease)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 421-6510
THE MEDICAL CLINIC OF JACKSON
Internal Medicine
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 424-8922
JONATHAN M. DAVIS M.D.
Internal Medicine (Pulmonary Disease)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (317) 422-7900
MUHAMMAD AHSAN M.D.
Internal Medicine (Cardiovascular Disease)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 421-6510
CHIBUZO E. NWOKOLO MD
Internal Medicine (Cardiovascular Disease)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 421-6510
WILLIAM NEILL JOHNSON MD
Internal Medicine (Pulmonary Disease)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 422-7900
INTERNAL MEDICINE CLINIC OF JACKSON PLLC
Clinic/Center (Primary Care)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 424-8922
KATIE ALYSE JOHNSON FNP
Nurse Practitioner (Family)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 424-8922

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 Stacie Grantham's NPI number?

The NPI number for Stacie Grantham is 1215175278. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Where is Stacie Grantham located?

Stacie Grantham practices at 587 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 424-8922.

What is Stacie Grantham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacie Grantham enrolled in Medicare?

Yes. Stacie Grantham 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 Stacie Grantham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Grantham reassigns Medicare benefits to 4 organizations: Fast Pace Mississippi, PLLC (Ripley, MS), Fast Pace Medical Clinic PLLC (Spring Hill, TN), Upperline Healthcare, PC (Hoover, AL) and Total Extended Care Services PC (Englewood, OH). 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 Stacie Grantham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacie Grantham accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Stacie Grantham 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 Stacie Grantham was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.