Stacie Nelson, NP - Medicare Nurse Practitioner in Copperhill, TN

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Stacie Nelson, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Copperhill, Tennessee. She went to Emory University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mahmood A Siddiqui Md Pc and her current practice location is 144 Medical Center Dr, Suite B, Copperhill, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 496-9214.

Stacie Nelson is licensed to practice in Tennessee (license number 17242) 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 1164518502.

Contact Information

Stacie Nelson, NP
144 Medical Center Dr, Suite B,
Copperhill, TN 37317-5005
(423) 496-9214
(423) 496-7809

Map and Direction




Provider's Profile

Full NameStacie Nelson
GenderFemale
SpecialityNurse Practitioner
Experience24 Years
Location144 Medical Center Dr, Copperhill, 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:
  • Stacie Nelson attended and graduated from Emory University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1164518502
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 04/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880694389
  • Enrollment ID: I20130409000161

Medical Identifiers

Medical identifiers for Stacie Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164518502NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN129463NP (Georgia)Secondary
363LA2200XNurse Practitioner - Adult Health 17242 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennessee Home HealthChattanooga, TNHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mahmood A Siddiqui Md Pc63059415353

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. Stacie Nelson allows following entities to bill medicare on her behalf.
Entity NameMahmood A Siddiqui Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427070523
PECOS PAC ID: 6305941535
Enrollment ID: O20070417000666
Entity NameUrgent Care Centers Of East Tennessee, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316124852
PECOS PAC ID: 1951485150
Enrollment ID: O20080227000117

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. Stacie Nelson 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
Stacie Nelson, NP
144 Medical Center Dr, Suite B,
Copperhill, TN 37317-5005

Ph: (423) 496-9214		Stacie Nelson, NP
144 Medical Center Dr, Suite B,
Copperhill, TN 37317-5005

Ph: (423) 496-9214

Reviews and Comments


Nurse Practitioner Nurses in Copperhill, TN

Kayla Renee Maddox, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 144 Medical Center Dr Ste B, Copperhill, TN 37317
Phone: 423-496-9214    Fax: 423-496-7809
Tiffany Boring,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 Grand Ave, Copperhill, TN 37317
Phone: 423-548-1000    Fax: 423-548-1002
Bethany Whitener, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 Grand Ave, Copperhill, TN 37317
Phone: 423-548-1000    Fax: 423-548-1002

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.