STACEY HUBBARD FNP
NPI 1811379639
Nurse Practitioner - Family in Johnson City, TN
About Stacey Hubbard Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY HUBBARD FNP (NPI 1811379639) is an individual family provider in Johnson City, Tennessee, licensed in Mississippi (R862145) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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 Hubbard 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.
Medicare Billing Reassignments
6Medicare enrollment records show Stacey Hubbard reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bristol, TN 37620
- Reassigned Medicare billing, Tennessee enrollment
- 230 clinicians in this Medicare group
Bluefield, WV 24701
- Reassigned Medicare billing, Mississippi and Tennessee enrollments
- 3 clinicians in this Medicare group
Oak Ridge, TN 37830
- Reassigned Medicare billing, Mississippi enrollment
Holly Springs, MS 38635
- Reassigned Medicare billing, Mississippi enrollment
- 3 clinicians in this Medicare group
Olive Branch, MS 38654
- Reassigned Medicare billing, Mississippi enrollment
- 19 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, Mississippi and Tennessee enrollments
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JOHNSON CITY, TN 37615
JOHNSON CITY, TN 37615
JOHNSON CITY, TN 37615
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 Hubbard's NPI number?
The NPI number for Stacey Hubbard is 1811379639. It was assigned to this individual provider in the NPPES registry on June 29, 2015.
Where is Stacey Hubbard located?
Stacey Hubbard practices at 119 Boone Ridge Dr Suite 201, Johnson City, TN 37615. The listed phone number is (865) 673-6741.
What is Stacey Hubbard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacey Hubbard enrolled in Medicare?
Yes. Stacey Hubbard 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 organizations bill Medicare for Stacey Hubbard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Hubbard reassigns Medicare benefits to 6 organizations: Ipc Pac Healthcare Services Of Tennessee PC (Bristol, TN), Cs Pacs 3 Southeast, LLC (Bluefield, WV), Southeastern Physician Services PC (Oak Ridge, TN), Mississippi Pac Services Professional Association (Holly Springs, MS), Olive Branch Family Medical Center (Olive Branch, MS) and 1 more organization, listed in the Medicare section above. 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 Hubbard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Hubbard accept?
Health plans from UnitedHealthcare list Stacey Hubbard 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.
When was this NPI record last updated?
The NPPES record for Stacey Hubbard was last updated on September 22, 2016. 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.
# Stacey Hubbard, FNP · NPI 1811379639
Family physician in Johnson City, Tennessee. Individual provider, active in the CMS NPPES registry since June 29, 2015.
## Identity
- **NPI:** 1811379639 (Entity type: Individual)
- **Enumerated:** June 29, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R862145 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 119 BOONE RIDGE DR, SUITE 201, Johnson City, TN 37615-4998
- **Phone:** (865) 673-6741 · **Fax:** (865) 673-6634
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Ipc Pac Healthcare Services Of Tennessee PC (NPI 1104277656, Bristol, TN); Cs Pacs 3 Southeast, LLC (NPI 1154104958, Bluefield, WV); Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN); Mississippi Pac Services Professional Association (NPI 1073042925, Holly Springs, MS); Olive Branch Family Medical Center (NPI 1629018478, Olive Branch, MS); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 22, 2016
- **Other identifiers:** Medicare PIN 434368YR6G (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1811379639) · Data from the CMS NPPES public registry.