STACIA KEYUNIA TATE FNP
NPI 1699089862
Nurse Practitioner - Family in Charlotte, NC

Active since July 30, 2010PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
9332 S TRYON ST, CHARLOTTE, NC 28273(704) 587-6700 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2023, Feb 28, 2023, Jan 26, 2023 and 52 more (55 updates tracked since 2018).

About Stacia Keyunia Tate Fnp NPPES

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

STACIA KEYUNIA TATE FNP (NPI 1699089862) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5004759) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1699089862
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACIA KEYUNIA TATECredential: FNP
Location Address9332 S TRYON STCharlotte, NC 28273-3108
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 30, 2010
Last NPPES UpdateMarch 9, 202355 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2020
NPI 1699089862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5004759
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5004759 (NC)
9332 S TRYON ST, Charlotte, NC 28273

Secondary Practice Locations 4

Location 15727 Prosperity Crossing Dr, Ste 1100Charlotte, NC 28269-2206 · Phone (704) 863-9930
Location 25717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150
Location 310210 Couloak Dr, Ste ECharlotte, NC 28216-7679 · Phone (704) 801-2000
Location 47810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636

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

Stacia Keyunia Tate Fnp 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 ID4082800552
PECOS Enrollment IDI20101123000326
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services51 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
33 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services22 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28273 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Family Medicine
9332 S TRYON ST
CHARLOTTE, NC 28273
Family Medicine
9332 S TRYON ST
CHARLOTTE, NC 28273
Physician Assistant
9332 S TRYON ST
CHARLOTTE, NC 28273
Pediatrics
9332 S TRYON ST
CHARLOTTE, NC 28273
Pediatrics
9332 S TRYON ST
CHARLOTTE, NC 28273
Physician Assistant
9332 S TRYON ST
CHARLOTTE, NC 28273
Family Medicine
9332 S TRYON ST
CHARLOTTE, NC 28273
Physician Assistant
9332 S TRYON ST
CHARLOTTE, NC 28273

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 Stacia Tate's NPI number?

The NPI number for Stacia Tate is 1699089862. It was assigned to this individual provider in the NPPES registry on July 30, 2010.

Where is Stacia Tate located?

Stacia Tate practices at 9332 S Tryon St, Charlotte, NC 28273. The listed phone number is (704) 587-6700.

What is Stacia Tate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacia Tate enrolled in Medicare?

Yes. Stacia Tate 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 Stacia Tate accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Stacia Tate 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.

Is Stacia Tate affiliated with any hospitals?

According to CMS data, Stacia Tate is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Stacia Tate was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.