STACEY NELSON PMHNP-BC
NPI 1770839029
Nurse Practitioner - Psychiatric/Mental Health in Knoxville, TN

Q: What is Stacey Nelson's NPI number?

The NPI number for Stacey Nelson is 1770839029. It was assigned to this individual provider in the NPPES registry on July 24, 2012. The provider is also known as Stacey Leann Riddley.

Q: What is Stacey Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Nelson was last updated on January 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 24, 2012PECOS EnrolledAccepts Medicare Assignment

10434 JACKSON OAKS WAY, KNOXVILLE, TN 37922(865) 588-3173(865) 244-3579 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2026, Nov 14, 2025, Apr 21, 2022 and 8 more (11 updates tracked since 2016).

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About Stacey Nelson Pmhnp-bc NPPES

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

STACEY NELSON PMHNP-BC (NPI 1770839029) is an individual psychiatric/mental health provider in Knoxville, Tennessee, licensed in Tennessee (APN22481) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770839029

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSTACEY NELSONCredential: PMHNP-BC

Location Address10434 JACKSON OAKS WAYKnoxville, TN 37922-3293

Mailing Address10434 Jackson Oaks WayKnoxville, TN 37922-3293 · (865) 588-3173 · Fax (865) 244-3579

Phone(865) 588-3173

Fax(865) 244-3579

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 24, 2012

Last NPPES UpdateJanuary 12, 202611 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1770839029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TN · APN22481

Also ListedRegistered NurseTaxonomy 163W00000X · License RN0000175851 (TN)

10434 JACKSON OAKS WAY, Knoxville, TN 37922

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Other Names 1

Former Name (1)Stacey Leann Riddley

Secondary Practice Locations 4

Location 15310 Ball Camp PikeKnoxville, TN 37921-3234 · Phone (865) 541-6958

Location 2201 W Springdale AveKnoxville, TN 37917-5158 · Phone (865) 637-9711 · Fax (865) 637-1278

Location 31704 E Broadway AveMaryville, TN 37804 · Phone (865) 681-6990

Location 4600 Arthur StKnoxville, TN 37921-6405 · Phone (865) 523-8695 · Fax (865) 523-6827

Other Identifiers 1

MedicaidQ027970TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 Nelson Pmhnp-bc 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 ID6204104078

PECOS Enrollment IDI20170620001084

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 37922 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.

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Other Providers at the Same Location NPPES 20

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

CLINT A. WHEELER LCSW

Social Worker (Clinical)