Individual provider Active NPI

Stacy Ann Wason-Fawver, NP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1194143347
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18632 Issued in TN
Practice address
501 Great Circle Rd FL 3
Nashville, TN 37228-1317
Phone
(615) 436-9060
Fax
(615) 235-9725
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 18632 TN Primary
Registered Nurse 163W00000X RN149401 TN

Addresses

Primary practice location

501 Great Circle Rd FL 3
Nashville, TN 37228-1317

Mailing address

926 Main St
Nashville, TN 37206-3614
Phone (615) 436-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, OH, TX, KY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20140930002729 TN Practitioner - Nurse Practitioner 2466672142 Reassigns benefits to 3 organizations
I20221014002959 FL Practitioner - Nurse Practitioner 2466672142 Reassigns benefits to 1 organization
I20240122001759 OH Practitioner - Nurse Practitioner 2466672142 Reassigns benefits to 1 organization
I20240215000625 TX Practitioner - Nurse Practitioner 2466672142 Reassigns benefits to 1 organization
I20240612002823 KY Practitioner - Nurse Practitioner 2466672142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN149401TNMDRegistered Nurse
18632TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Copilotiq, PC CurrentSince Nov 11, 2023 Accepting new patients
Cherokee Health Systems CurrentSince Feb 9, 2015 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 11, 2016 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 11, 2016 Accepting new patients
Cherokee Health Systems CurrentSince Feb 9, 2015 Accepting new patients
Copilotiq Medical PA Past Accepting new patients

Locations

6271 Saint Augustine Rd
Jacksonville, FL 32217
Phone (615) 412-8777

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

1201 Dublin Rd
Ste 563
Columbus, OH 43215

1285 Highway 11W
Bean Station, TN 37708
Phone (865) 993-4300

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

10731 Chapman Hwy
Seymour, TN 37865
Phone (865) 573-0698

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

1910 Pacific Ave
Ste 2000
Dallas, TX 75201
Phone (615) 412-8777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22351/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stacy.wason-fawver@237407481626628.direct.elationemr.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.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1194143347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063614",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD FL 3",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASON-FAWVER",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18632",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN149401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.