STACY R BROMLEY (PA-C) – Physician Assistant, NPI 1740340884
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
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Provider Addresses for STACY R BROMLEY (PA-C)
400, Jackson County, Oregon, United States
JACKSON, TN 383020400
Phone: (731) 425-5752
Fax: (731) 425-5783
Type: Mailing
Milan General Hospital, 4039, Highland Street, Milan, Gibson County, Tennessee, 38358, United States
MILAN, TN 383583483
Phone: (731) 686-8995
Fax: (731) 686-8997
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 91 Open Payments records for all available years, with a total value of $1,538.
Total Amount is formed as General ($1,538) + Research ($0) + Ownership ($0) = $1,538.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($356).
Total Amount
$1,538
General + Research + Ownership
Payments
91
Total payment records
General Amount
$1,538
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $356 |
| ABBVIE INC. | $242 |
| AstraZeneca Pharmaceuticals LP | $218 |
| Lilly USA, LLC | $205 |
| Amgen Inc. | $123 |
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: 2015-12-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151216000241 | I | Physician Assistant | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 105 | 20 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 88 | 44 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 69 | 69 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 66 | 66 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 47 | 47 | $0 |
Insurance plans in this area (ZIP 38302)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TN | 83036 | Hemoglobin A1C level | 22 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | NC | |
| Nurse Practitioner | TN |
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