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

STACEY LYNN PHILLIPS MSN, FNP
NPI 1710136718
Nurse Practitioner - Family in Somerville, TN

Active since September 15, 2008PECOS EnrolledAccepts Medicare Assignment
25 WOODBRIDGE RD, SUITE A, SOMERVILLE, TN 38068(901) 465-6353(901) 465-5948 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacey Lynn Phillips Msn, Fnp NPPES

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

STACEY LYNN PHILLIPS MSN, FNP (NPI 1710136718) is an individual family provider in Somerville, Tennessee, licensed in Tennessee (13658) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Memphis Hospital Medical College (2008).

NPPES Registry Identity

NPI1710136718
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY LYNN PHILLIPSCredential: MSN, FNP
Location Address25 WOODBRIDGE RD, SUITE ASomerville, TN 38068-1242
Mailing Address25 Woodbridge Rd, Suite ASomerville, TN 38068-1242 · (901) 465-6353 · Fax (901) 465-5948
Phone(901) 465-6353
Fax(901) 465-5948
Sole ProprietorNo
Medical School CMSMemphis Hospital Medical CollegeGraduated 2008
Enumeration DateSeptember 15, 2008
Last NPPES UpdateOctober 8, 2015
✔ NPI 1710136718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 13658
25 WOODBRIDGE RD, Somerville, TN 38068
Open in Google Maps ↗

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

Stacey Lynn Phillips Msn, 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 ID9234254475
PECOS Enrollment IDI20100913000174
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 Stacey Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Methodist Healthcare Community Care Associates
25 mi
Urgent Care
8045 CLUB PKWY
Cordova, TN 38016
  • Reassigned Medicare billing, Tennessee enrollment
  • 78 clinicians in this Medicare group
NPI 1194839241 (901) 758-6035

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 38068 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 2

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

JAMEY K COLSTON FNP
Nurse Practitioner (Family)
25 WOODBRIDGE RD
SOMERVILLE, TN 38068
Fayette County (901) 465-6353
STACIE SOWELL FNP-C
Nurse Practitioner (Family)
25 WOODBRIDGE RD
SOMERVILLE, TN 38068
Fayette County (901) 465-6353

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 Stacey Phillips's NPI number?

The NPI number for Stacey Phillips is 1710136718. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Stacey Phillips located?

Stacey Phillips practices at 25 Woodbridge Rd Suite A, Somerville, TN 38068. The listed phone number is (901) 465-6353.

What is Stacey Phillips's specialty?

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

Is Stacey Phillips enrolled in Medicare?

Yes. Stacey Phillips 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 Stacey Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Phillips reassigns Medicare benefits to Methodist Healthcare Community Care Associates (Cordova, TN). 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 Stacey Phillips'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 Stacey Phillips was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.