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

Q: 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.

Q: What is Stacey Phillips's specialty?

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

Q: 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 10 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.

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: August 16, 2026.

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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

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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

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.

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.

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 10 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.