STACEY MICHELIN FNP-C
NPI 1750873089
Nurse Practitioner - Family in Clarksville, TN

Q: What is Stacey Michelin's NPI number?

The NPI number for Stacey Michelin is 1750873089. It was assigned to this individual provider in the NPPES registry on June 1, 2018. The provider is also known as Stacey Boothe.

Q: What is Stacey Michelin'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 Michelin was last updated on June 28, 2022. 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.

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment

2269 WILMA RUDOLPH BLVD STE 106, CLARKSVILLE, TN 37040(931) 542-9010(844) 557-9010 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2019, Sep 25, 2018, Jul 14, 2018 (3 updates tracked since 2018).

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About Stacey Michelin Fnp-c NPPES

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

STACEY MICHELIN FNP-C (NPI 1750873089) is an individual family provider in Clarksville, Tennessee, licensed in Tennessee (24149) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-clarksville, and maintains a secondary practice location in Clarksville.

NPPES Registry Identity

NPI1750873089

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACEY MICHELINCredential: FNP-C

Location Address2269 WILMA RUDOLPH BLVD STE 106Clarksville, TN 37040-8416

Mailing Address2269 Wilma Rudolph Blvd Ste 106Clarksville, TN 37040-8416 · (931) 542-9010 · Fax (844) 557-9010

Phone(931) 542-9010

Fax(844) 557-9010

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJune 1, 2018

Last NPPES UpdateJune 28, 20223 updates tracked since enumeration

NPPES CertifiedJune 27, 2022

✔ NPI 1750873089 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 · 24149

2269 WILMA RUDOLPH BLVD STE 106, Clarksville, TN 37040

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Other Names 1

Former Name (1)Stacey Boothe

Secondary Practice Location 1

Location 1215 8th StClarksville, TN 37040 · Phone (931) 542-9010 · Fax (931) 542-9019

Other Identifiers 1

Other83-1860610TN · Irs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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

Stacey Michelin Fnp-c 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 ID8123364882

PECOS Enrollment IDI20190116003925

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.

95 services69 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.

71 services54 patients

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

60 services34 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

51 services29 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.

32 services30 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

31 services31 patients

Hospital Affiliations CMS Care Compare

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

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440035

Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers14 claims33 services$5.64 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$17.41 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers15 claims15 services$5.70 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$89.96 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers11 claims1,770 services$0.09 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers25 claims27 services$196.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

KEYLY MCMAHON KNECHTEL APRN

Nurse Practitioner (Family)

2269 WILMA RUDOLPH BLVD STE 106
CLARKSVILLE, TN 37040

Montgomery County (931) 542-9010

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 Michelin's NPI number?

The NPI number for Stacey Michelin is 1750873089. It was assigned to this individual provider in the NPPES registry on June 1, 2018. The provider is also known as Stacey Boothe.

Where is Stacey Michelin located?

Stacey Michelin practices at 2269 Wilma Rudolph Blvd Ste 106, Clarksville, TN 37040. The listed phone number is (931) 542-9010.

What is Stacey Michelin's specialty?

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

Is Stacey Michelin enrolled in Medicare?

Yes. Stacey Michelin 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 Stacey Michelin accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Stacey Michelin 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 Stacey Michelin affiliated with any hospitals?

According to CMS data, Stacey Michelin is affiliated with Tennova Healthcare-Clarksville.

When was this NPI record last updated?

The NPPES record for Stacey Michelin was last updated on June 28, 2022. 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.