STACIE NELSON (NP) – Acute Care Nurse Practitioner, NPI 1164518502
Acute Care Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for STACIE NELSON (NP)
2401 S 31ST ST
TEMPLE, TX 765080001
Phone: (254) 724-2111
Fax: (254) 724-7603
Type: Location
144 Medical Center Dr
Suite B
Copperhill, TN 373175005
Phone: (423) 496-9214
Fax: (423) 496-7809
Type: Location
Copper Basin Medical Center, 144, Medical Center Drive, Copperhill, Polk County, Tennessee, 37317, United States
SUITE B
COPPERHILL, TN 373175005
Phone: (423) 496-9214
Fax: (423) 496-7809
Type: Mailing
PO BOX 844658
SUITE B
DALLAS, TX 752844658
Phone: (800) 994-0371
Fax: (254) 215-9722
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $725.
Total Amount is formed as General ($725) + Research ($0) + Ownership ($0) = $725.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($290).
Total Amount
$725
General + Research + Ownership
Payments
46
Total payment records
General Amount
$725
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $290 |
| ABBVIE INC. | $268 |
| PFIZER INC. | $70 |
| AstraZeneca Pharmaceuticals LP | $31 |
| Xeris Pharmaceuticals, Inc. | $28 |
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: 2025-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130409000161 | I | Nurse Practitioner | TN | TBD |
| I20250717000534 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 698 | 248 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 328 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 237 | 138 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 196 | 56 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 187 | 83 | $0 |
Insurance plans in this area (ZIP 76508)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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