HEATHER STAFFORD
NPI 1891551784
Nurse Practitioner in Gainesboro, TN

Q: What is Heather Stafford's NPI number?

The NPI number for Heather Stafford is 1891551784. It was assigned to this individual provider in the NPPES registry on February 27, 2024.

Q: What is Heather Stafford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Stafford was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 27, 2024PECOS EnrolledAccepts Medicare Assignment

1340 N GRUNDY QUARLES HWY, GAINESBORO, TN 38562(931) 268-0291 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Heather Stafford NPPES

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

HEATHER STAFFORD (NPI 1891551784) is an individual nurse practitioner in Gainesboro, Tennessee, licensed in Tennessee (35808) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Livingston Regional Hospital, and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1891551784

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHEATHER STAFFORD

Location Address1340 N GRUNDY QUARLES HWYGainesboro, TN 38562-6001

Mailing Address972 Haydenburg RdWhitleyville, TN 38588-7059

Phone(931) 268-0291

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 27, 2024

NPPES CertifiedFebruary 27, 2024

✔ NPI 1891551784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 35808

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1340 N GRUNDY QUARLES HWY, Gainesboro, TN 38562

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Secondary Practice Location 1

Location 1405 Times AveLafayette, TN 37083-1247 · Phone (615) 666-3170

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

Heather Stafford 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 ID1557707858

PECOS Enrollment IDI20240308002223

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 12

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

767 services71 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

586 services90 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

312 services96 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

202 services61 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

46 services46 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.

38 services35 patients

Advance care planning, first 30 minutes 99497

37 services37 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

36 services26 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

19 services14 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

19 services19 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

16 services14 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Livingston Regional Hospital

Acute Care Hospitals · Livingston, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440187

Location315 Oak St Box 550Livingston, TN 38570 · Overton County

Emergency services Birthing friendly

Macon Community Hospital

Critical Access Hospitals · Lafayette, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number441305

Location204 Medical DriveLafayette, TN 37083 · Macon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38562 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 9

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

JENNA RAE WATSON-DUNCAN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)