DONNA STANTON
NPI 1295142230
Nurse Practitioner in Oliver Springs, TN

Active since July 22, 2014PECOS EnrolledAccepts Medicare Assignment
7065 KNOXVILLE HWY, OLIVER SPRINGS, TN 37840(865) 435-3918 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donna Stanton NPPES

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

DONNA STANTON (NPI 1295142230) is an individual nurse practitioner in Oliver Springs, Tennessee, licensed in Tennessee (18960) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1295142230
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDONNA STANTON
Location Address7065 KNOXVILLE HWYOliver Springs, TN 37840-3035
Mailing Address7065 Knoxville HwyOliver Springs, TN 37840-3035 · (865) 435-3918
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 22, 2014
Last NPPES UpdateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1295142230 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 · 18960
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.
7065 KNOXVILLE HWY, Oliver Springs, TN 37840

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

Donna Stanton 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 ID6002036647
PECOS Enrollment IDI20141003000412
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 Donna Stanton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
50 ADAMS ST
New Castle, KY 40050
  • Reassigned Medicare billing, Tennessee enrollment
  • 18 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37840 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.

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 Donna Stanton's NPI number?

The NPI number for Donna Stanton is 1295142230. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Where is Donna Stanton located?

Donna Stanton practices at 7065 Knoxville Hwy, Oliver Springs, TN 37840. The listed phone number is (865) 435-3918.

What is Donna Stanton's specialty?

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

Is Donna Stanton enrolled in Medicare?

Yes. Donna Stanton 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 Donna Stanton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Stanton reassigns Medicare benefits to Velocity Medical LLC (New Castle, KY). 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 Donna Stanton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donna Stanton was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.