STACEY ANNE KESTERSON (RNC MSN) – Women's Health Nurse Practitioner, NPI 1073594263

STACEY ANNE KESTERSON (RNC MSN) is a healthcare provider. based in Morristown, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials RNC MSN. They hold a License No. 96945 (TN). The NPI Number for STACEY ANNE KESTERSON (RNC MSN) is 1073594263

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
STACEY ANNE KESTERSON (RNC MSN)
NPI
1073594263
Phone
(423) 492-7100
Address
1621 W MORRIS BLVD STE A
Enumeration Date
7 November 2005
Last Update Date
14 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8656747454
Graduation Year
2003 (23 years ago)
PAC ID
0345200481
Group Practice PAC ID
1355416306
Professional Enrollment ID
I20041013001136
Address ID
TN378903306WH3106XDRXX300

Contacts

Secure Messaging
stacey.kesterson.1@4694.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for STACEY ANNE KESTERSON (RNC MSN)

  • West Morris Boulevard, Morristown, Hamblen County, Tennessee, 37813, United States

    MORRISTOWN, TN 378132967

    Phone: (423) 492-7100

    Fax: (423) 492-8801

    Type: Location

  • 120 Hospital Dr Ste 100

    Jefferson City, TN 377605204

    Phone: (865) 471-2700

    Fax: (865) 471-2704

    Type: Location

  • 305 N BELLWOOD RD

    MORRISTOWN, TN 378141188

    Phone: (865) 471-2700

    Fax: (865) 471-2704

    Type: Mailing

  • 525, McFarland Street, Country Club Hills, Crockett Ridge, Morristown, Hamblen County, East Tennessee, Tennessee, 37814, United States

    MORRISTOWN, TN 378143975

    Phone: (423) 586-6629

    Fax: (423) 586-2146

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,404.

Total Amount is formed as General ($1,404) + Research ($0) + Ownership ($0) = $1,404.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($511).

Total Amount

$1,404

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,404

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041013001136INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3631$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2727$0
81002Urinalysis, manual test1916$0
99212Established patient office or other outpatient visit, 10-19 minutes1813$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 37813)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355416306View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Internal MedicineTN
Orthopedic SurgeryTN
Family PracticeTN
Family PracticeTN
Internal MedicineTN
Hospitalist, Internal MedicineTN
Sports Medicine, Orthopedic SurgeryTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Does STACEY ANNE KESTERSON (RNC MSN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STACEY ANNE KESTERSON (RNC MSN) uses 1073594263.
Is STACEY ANNE KESTERSON (RNC MSN) listed as active for patients and plans?
The listing shows STACEY ANNE KESTERSON (RNC MSN) as active in the NPI system.
What is STACEY ANNE KESTERSON (RNC MSN) best known for clinically?
Directory data describes STACEY ANNE KESTERSON (RNC MSN) with Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does STACEY ANNE KESTERSON (RNC MSN) serve?
STACEY ANNE KESTERSON (RNC MSN)'s listing highlights Morristown, Tennessee; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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