MRS. STACIE K GRANTHAM CFNP
NPI 1215175278
Nurse Practitioner - Psychiatric/Mental Health in Jackson, TN
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
Specialties & Licenses 2
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. 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.
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.
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.
JACKSON, TN 38301
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.
What insurance does Stacie Grantham accept?
Health plans from 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 4 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.
# Mrs. Stacie K Grantham, CFNP · NPI 1215175278
Psychiatric/Mental Health physician in Jackson, Tennessee. Individual provider, active in the CMS NPPES registry since January 29, 2009.
## Identity
- **NPI:** 1215175278 (Entity type: Individual)
- **Enumerated:** January 29, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APN13513 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 587 SKYLINE DR, Jackson, TN 38301-3938
- **Phone:** (731) 424-8922 · **Fax:** (731) 423-2922
## 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 2008
## Record status
- **NPPES last updated:** September 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1215175278) · Data from the CMS NPPES public registry.