Individual provider Active NPI

Stacy Schamp, CRNP

  • Family Nurse Practitioner
  • Paris, TN
National Provider Identifier
1003118019
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34781 Issued in TN
Practice address
1297 Mineral Wells Ave
Paris, TN 38242-5050
Phone
(731) 227-6120
Fax
(731) 227-6121
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011093 PA
Family Nurse Practitioner 363LF0000X 34781 TN Primary

Addresses

Primary practice location

1297 Mineral Wells Ave
Paris, TN 38242-5050

Mailing address

1297 Mineral Wells Ave
Paris, TN 38242-5050
Phone (731) 227-6120

Other practice location 1

5944 Steubenville Pike
Mc Kees Rocks, PA 15136-1315
Phone (412) 787-3508

Other practice location 2

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 531-2902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130205000567 PA Practitioner - Nurse Practitioner 3375797095 Reassigns benefits to 1 organization
I20231122001119 TN Practitioner - Nurse Practitioner 3375797095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

1002 Cornerstone Dr
Paris, TN 38242-5845
Phone (731) 642-8884

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.7 of 100Reported as group
Quality
90.46
Promoting interoperability
100
Improvement activities
40
Cost
78.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP011093PAMDFamily Nurse Practitioner
34781TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. CurrentSince Aug 16, 2021 Accepting new patients
West Tennessee Medical Group Inc Current Accepting new patients
Preferred Primary Care Physicians, Inc. Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 21, 2023 Accepting new patients
Preferred Primary Care Physicians CurrentSince Aug 16, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 21, 2023 Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

164 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-5900

1297 Mineral Wells Ave
Paris, TN 38242
Phone (731) 227-6120

1002 Cornerstone Dr
Paris, TN 38242
Phone (731) 642-8884

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/
  • Direct secure messaging: sschamp@hcmcclinics.gwaydirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1003118019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 MINERAL WELLS AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425050",
            "telephone_number": "731-227-6120",
            "fax_number": "731-227-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 MINERAL WELLS AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425050",
            "telephone_number": "731-227-6120",
            "fax_number": "731-227-6121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5944 Steubenville Pike",
            "address_purpose": "LOCATION",
            "city": "Mc Kees Rocks",
            "state": "PA",
            "postal_code": "151361315",
            "country_code": "US",
            "telephone_number": "412-787-3508",
            "fax_number": "412-787-2141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2375 Greentree Rd",
            "address_purpose": "LOCATION",
            "city": "Carnegie",
            "state": "PA",
            "postal_code": "151064203",
            "country_code": "US",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAMP",
        "first_name": "STACY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011093",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.