Individual provider Active NPI

Stacey Craig, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1154912921
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28907 Issued in TN
Practice address
5917 Rutledge Pike
Knoxville, TN 37924-2252
Phone
(865) 564-5421
Fax
(865) 213-1604
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28907 TN Primary

Addresses

Primary practice location

5917 Rutledge Pike
Knoxville, TN 37924-2252

Mailing address

5917 Rutledge Pike
Knoxville, TN 37924-2252
Phone (865) 564-5421

Other practice location 1

1748 W Andrew Johnson Hwy
Morristown, TN 37814-3737
Phone (423) 597-6077

Other practice location 2

9217 Parkwest Blvd.
Ste E-1
Knoxville, TN 37923
Phone (865) 444-1658

Other practice location 3

201 Prosperity Dr
Knoxville, TN 37923-4711
Phone (865) 390-2513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210302002015 TN Practitioner - Nurse Practitioner 5395151187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

2636 W Andrew Johnson Hwy
Morristown, TN 37814-3214
Phone (423) 200-3225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Care Health and Wellness, LLC Current Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince May 27, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince May 27, 2024 Accepting new patients
The Cornerstone of Recovery, Inc. PastSince Jun 23, 2024 Accepting new patients
Allied Medical Clinic, Inc. PastSince Jul 1, 2022 Accepting new patients
Bradford Evolve Treatment Services, LLC PastSince Jun 23, 2024 Accepting new patients

Locations

4490 Hixson Pike
Hixson, TN 37343
Phone (423) 875-0700

5917 Rutledge Pike
Knoxville, TN 37924
Phone (865) 525-2121

2636 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 200-3225

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

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.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1154912921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 RUTLEDGE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379242252",
            "telephone_number": "865-564-5421",
            "fax_number": "865-213-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 RUTLEDGE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379242252",
            "telephone_number": "865-564-5421",
            "fax_number": "865-213-1604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1748 W Andrew Johnson Hwy",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378143737",
            "country_code": "US",
            "telephone_number": "423-597-6077",
            "fax_number": "423-289-1232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9217 Parkwest Blvd.",
            "address_2": "Ste E-1",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37923",
            "country_code": "US",
            "telephone_number": "865-444-1658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Prosperity Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234711",
            "country_code": "US",
            "telephone_number": "865-390-2513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.