MARILEE SUZANNE STOVALL
NPI 1821678558
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment
1200 PEABODY AVE, MEMPHIS, TN 38104(901) 707-6861 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marilee Suzanne Stovall NPPES

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

MARILEE SUZANNE STOVALL (NPI 1821678558) is an individual psychiatric/mental health provider in Memphis, Tennessee, licensed in Tennessee (29200) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1821678558
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARILEE SUZANNE STOVALL
Location Address1200 PEABODY AVEMemphis, TN 38104-4506
Mailing Address1448 Hayne RdMemphis, TN 38119-5925
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 8, 2021
NPPES CertifiedApril 8, 2021
NPI 1821678558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TN · 29200
1200 PEABODY AVE, Memphis, TN 38104

Accepted 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

Marilee Suzanne Stovall 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 ID8628457223
PECOS Enrollment IDI20220627003562
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 38104 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 18

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

Internal Medicine
1200 PEABODY AVE
MEMPHIS, TN 38104
Clinic/Center (Primary Care)
1200 PEABODY AVE
MEMPHIS, TN 38104
Internal Medicine
1200 PEABODY AVE
MEMPHIS, TN 38104
Family Medicine
1200 PEABODY AVE
MEMPHIS, TN 38104
Nurse Practitioner (Family)
1200 PEABODY AVE
MEMPHIS, TN 38104
Surgery
1200 PEABODY AVE
MEMPHIS, TN 38104
Pharmacist
1200 PEABODY AVE
MEMPHIS, TN 38104
Counselor (Professional)
1200 PEABODY AVE
MEMPHIS, TN 38104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821678558, enumerated as an "individual" on April 08, 2021.

The provider is located at 1200 PEABODY AVE MEMPHIS, TN 38104 and the phone number is (901) 707-6861.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.