Mrs Stacy Johnson Gambill, FNP - Medicare Nurse Practitioner in Jefferson, NC

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Mrs Stacy Johnson Gambill, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jefferson, North Carolina. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eventus Premier Healthcare Llc and her current practice location is 413 Mcconnell St, Jefferson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 246-9449.

Mrs Stacy Johnson Gambill is licensed to practice in North Carolina (license number 5000711) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457436008.

Contact Information

Mrs Stacy Johnson Gambill, FNP
413 Mcconnell St,
Jefferson, NC 28640-9772
(336) 246-9449
(336) 846-2025

Map and Direction




Provider's Profile

Full NameMrs Stacy Johnson Gambill
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location413 Mcconnell St, Jefferson, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Stacy Johnson Gambill graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1457436008
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 11/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5092883355
  • Enrollment ID: I20081014000413

Medical Identifiers

Medical identifiers for Mrs Stacy Johnson Gambill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457436008NPI-NPPES
VV9055B667OtherVAPTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024167387 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 5000711 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Twin County Regional HospitalGalax, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eventus Premier Healthcare Llc630538101393

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Stacy Johnson Gambill allows following entities to bill medicare on her behalf.
Entity NamePremier Geriatric Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568093672
PECOS PAC ID: 3072940279
Enrollment ID: O20200228001800
Entity NamePai Participant 1 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093371312
PECOS PAC ID: 8123351954
Enrollment ID: O20211208001934
Entity NameHospitalist Medicine Physicians Of Washington Tacoma Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740911585
PECOS PAC ID: 5395126270
Enrollment ID: O20240223002812
Entity NameEventus Premier Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437998309
PECOS PAC ID: 6305381013
Enrollment ID: O20240717001731
Entity NameEventus Wh Mid-atlantic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700627130
PECOS PAC ID: 7618414111
Enrollment ID: O20240801002915
Entity NameEventus Wh Mid-atlantic Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063253490
PECOS PAC ID: 8921534744
Enrollment ID: O20241203004710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stacy Johnson Gambill is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Stacy Johnson Gambill, FNP
Po Box 208,
Jefferson, NC 28640-0208

Ph: (336) 246-9449		Mrs Stacy Johnson Gambill, FNP
413 Mcconnell St,
Jefferson, NC 28640-9772

Ph: (336) 246-9449

Reviews and Comments


Nurse Practitioner Nurses in Jefferson, NC

Amanda Dancy Bundy, FNP-C
Nurse Practitioner
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Practice Location: 310 Hospital Avenue, Jefferson, NC 28643
Phone: 336-846-6322    
Robin Arlene Edwards, NP-C
Nurse Practitioner
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Practice Location: 151 Medical Park Dr., Jefferson, NC 28640
Phone: --    
Emily Michelle Denny, FNP
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Medicare: May Accept Medicare Assignments
Practice Location: 413 Mcconnell St, Jefferson, NC 28640
Phone: 336-246-9449    Fax: 336-846-2025
Cathy Griffitts Clark, FNP
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Practice Location: 200 Hospital Ave Ste 3, Jefferson, NC 28640
Phone: 336-846-7433    Fax: 336-846-7878
Ms. Addison Brinkley Fairchild, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 125 Colvard Farm Rd, Jefferson, NC 28640
Phone: 828-964-6379    
Michele Tidwell Cole, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 151 Medical Park Dr, Jefferson, NC 28640
Phone: 336-246-7161    Fax: 336-835-4761
Mrs. Rebecca Scoggin Clark, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 413 Mcconnell St, Jefferson, NC 28640
Phone: 336-246-9449    Fax: 336-846-2025

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.