Stacey Hubbard, FNP - Medicare Nurse Practitioner in Johnson City, TN

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Stacey Hubbard, FNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cs Pacs 3 Southeast Llc, Ipc Pac Healthcare Services Of Tennessee Pc and her current practice location is 119 Boone Ridge Dr, Suite 201, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 673-6741.

Stacey Hubbard is licensed to practice in Mississippi (license number R862145) 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 1811379639.

Contact Information

Stacey Hubbard, FNP
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998
(865) 673-6741
(865) 673-6634

Map and Direction




Provider's Profile

Full NameStacey Hubbard
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location119 Boone Ridge Dr, Johnson City, Tennessee
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:
  • Stacey Hubbard graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1811379639
  • Provider Enumeration Date: 06/29/2015
  • Last Update Date: 09/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7911214689
  • Enrollment ID: I20150911001889

Medical Identifiers

Medical identifiers for Stacey Hubbard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811379639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R862145 (Mississippi)Primary

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. Stacey Hubbard allows following entities to bill medicare on her behalf.
Entity NameOlive Branch Family Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629018478
PECOS PAC ID: 2567351984
Enrollment ID: O20040313000211
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20160831001321
Entity NameMississippi Pac Services Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073042925
PECOS PAC ID: 7012273055
Enrollment ID: O20171108001549
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210813001283
Entity NameCs Pacs 3 Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154104958
PECOS PAC ID: 8426404302
Enrollment ID: O20241002000422

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. Stacey Hubbard 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
Stacey Hubbard, FNP
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998

Ph: (865) 673-6741		Stacey Hubbard, FNP
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998

Ph: (865) 673-6741

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615
Phone: 423-282-1480    Fax: 423-928-1353
Connie T Rutledge, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 303 Med Tech Pkwy Ste 100, Johnson City, TN 37604
Phone: 423-282-5611    Fax: 423-282-5712
Charity Helton, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604
Phone: 423-439-7320    
Meghan Marie Hollier, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1018 Chase Dr, Johnson City, TN 37604
Phone: 423-282-3379    Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604
Phone: 423-461-2100    Fax: 423-461-2199
Shelly J Mcintosh, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-0720
Mr. Seth M Mclaughlin, FNP NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604
Phone: 423-952-5300    Fax: 423-402-8557

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.