Individual provider Active NPI

Stacy Robin Perez, FNP

  • Family Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1346043338
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38506 Issued in TN
Practice address
103 Physicians Way Ste 120
Lebanon, TN 37090-4134
Phone
(615) 453-5623
Fax
(615) 453-8592
NPI assigned
Mar 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 38506 TN Primary

Addresses

Primary practice location

103 Physicians Way Ste 120
Lebanon, TN 37090-4134

Mailing address

1909 Brisbane CT
Mount Juliet, TN 37122-8506
Phone (615) 823-0542

Other practice location 1

1909 Brisbane Ct
Mount Juliet, TN 37122-8506
Phone (615) 823-0542

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
I20251030000479 TN Practitioner - Nurse Practitioner 1951890961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

103 Physicians Way
Suite 120
Lebanon, TN 37090-4134
Phone (615) 453-5623

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38506TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Oct 6, 2025 Accepting new patients

Locations

315 N Washington Ave
Ste 230
Cookeville, TN 38501
Phone (931) 400-0995

103 Natchez Park Dr
Ste 103
Dickson, TN 37055
Phone (615) 451-5481

103 Physicians Way
Ste 120
Lebanon, TN 37090
Phone (615) 453-5623

1589 Sparta St
McMinnville, TN 37110
Phone (931) 815-2663

1589 Sparta St
Ste 203
McMinnville, TN 37110
Phone (931) 668-4585

120 Frank Martin Rd
Ste 102
Shelbyville, TN 37160
Phone (931) 680-0602

504 22nd Ave E
Springfield, TN 37172
Phone (615) 382-5732

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 1

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": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1346043338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 BRISBANE CT",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228506",
            "telephone_number": "615-823-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PHYSICIANS WAY STE 120",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904134",
            "telephone_number": "615-453-5623",
            "fax_number": "615-453-8592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Brisbane Ct",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371228506",
            "country_code": "US",
            "telephone_number": "615-823-0542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "STACY",
        "middle_name": "ROBIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.