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

STACEY BUCKNER
NPI 1801410253
Nurse Practitioner - Family in Chattanooga, TN

Active since June 02, 2020PECOS Enrolled
207 BOOTH RD, CHATTANOOGA, TN 37411(423) 298-3650 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacey Buckner NPPES

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

STACEY BUCKNER (NPI 1801410253) is an individual family provider in Chattanooga, Tennessee, licensed in Tennessee (27616) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801410253
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY BUCKNER
Location Address207 BOOTH RDChattanooga, TN 37411-2702
Mailing Address207 Booth RdChattanooga, TN 37411-2702 · (423) 413-0502
Phone(423) 298-3650
Sole ProprietorNo
Enumeration DateJune 2, 2020
NPPES CertifiedJune 2, 2020
✔ NPI 1801410253 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 · 27616
207 BOOTH RD, Chattanooga, TN 37411
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 (PECOS)

Stacey Buckner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Stacey Buckner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shc Medical Partners Of Tennessee, LLC
218 mi
Nurse Practitioner
919 MEDICAL PARK DR
Mountain City, TN 37683
  • Reassigned Medicare billing, Tennessee enrollment
  • 66 clinicians in this Medicare group
NPI 1609051895 (423) 727-7800
Cogent Healthcare Of Tennessee, PC
243 mi
Internal Medicine
400 E TICKLE ST
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 142 clinicians in this Medicare group
NPI 1952654246 (731) 285-2410

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 37411 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.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims19 services$7.98 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier13 claims260 services$8.45 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$66.34 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier14 claims14 services$58.10 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$26.03 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$9.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Buckner's NPI number?

The NPI number for Stacey Buckner is 1801410253. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Stacey Buckner located?

Stacey Buckner practices at 207 Booth Rd, Chattanooga, TN 37411. The listed phone number is (423) 298-3650.

What is Stacey Buckner's specialty?

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

Is Stacey Buckner enrolled in Medicare?

Yes. Stacey Buckner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Buckner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Buckner reassigns Medicare benefits to 2 organizations: Shc Medical Partners Of Tennessee, LLC (Mountain City, TN) and Cogent Healthcare Of Tennessee, PC (Dyersburg, TN). Each 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 Buckner'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 Buckner was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.