STACEY WHALLEY MSN, FNP-BC
NPI 1992002067
Nurse Practitioner - Family in Jackson, TN
Active since February 24, 2011
121 STONEBRIDGE BLVD STE C, JACKSON, TN 38305(731) 213-1212(731) 249-0371 Get Directions Write a Review
About Stacey Whalley Msn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY WHALLEY MSN, FNP-BC (NPI 1992002067) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (15611) and active in the NPI registry since February 2011.
NPPES Registry Identity
NPI1992002067
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY WHALLEYCredential: MSN, FNP-BC
Location Address121 STONEBRIDGE BLVD STE CJackson, TN 38305-2160
Mailing Address121 Stonebridge Blvd Ste CJackson, TN 38305-2160 · (731) 213-1212 · Fax (731) 249-0371
Phone(731) 213-1212
Fax(731) 249-0371
Sole ProprietorYes
Enumeration DateFebruary 24, 2011
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1992002067 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 · 15611
121 STONEBRIDGE BLVD STE C, Jackson, TN 38305
Other Names 1
Former Name (1)Stacey Mott Msn, Fnp-bc
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
30%315 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
56%648 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
9%345 patients1/55-star benchmark: 85%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
19%72 patients1/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992002067, enumerated as an "individual" on February 24, 2011.
The provider is located at 121 STONEBRIDGE BLVD STE C JACKSON, TN 38305 and the phone number is (731) 213-1212.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
