Active NPI
Stephanie Paige McCauley, FNP
- Family Nurse Practitioner
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024186022
- Practice address
- 1 Medical Park Blvd
Bristol, TN 37620-7430 - Phone
- (423) 844-1121
- NPI assigned
- Dec 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024186022 | VA | Primary |
Addresses
Primary practice location
1 Medical Park Blvd
Bristol, TN 37620-7430
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 032-6567
Other practice location 1
1020 Terrace Dr Ste 200
Marion, VA 24354-4393
Phone (276) 783-7167
Other practice location 2
245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000
Other practice location 3
16000 Johnston Memorial Dr Ste 313
Abingdon, VA 24211-7664
Phone (276) 258-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231017003139 | VA | Practitioner - Nurse Practitioner | 2668516204 | Reassigns benefits to 3 organizations |
| I20231202000374 | TN | Practitioner - Nurse Practitioner | 2668516204 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellmont Medical Associates IncAbingdon Physician PartnersBlue Ridge Medical Management CorporationIntegrated Wound Healing,LLC
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121
1205 Snider St
B
Marion, VA 24354-4221
Phone (276) 258-1777
16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1140
384 S Pantops Dr
Charlottesville, VA 22911-8678
Phone (607) 725-0948
Hospital & facility affiliations
- Wellmont Bristol Regional Medical Center
- Smyth County Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024186022 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Integrated Wound Healing,LLC | Family | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Abingdon Physician Partners | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Health System | Current | Accepting new patients |
Locations
1 Medical Park Blvd
#5W
Bristol, TN 37620
Phone (423) 844-5914
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
16000 Johnston Memorial Dr
Ste 313
Abingdon, VA 24211
Phone (276) 258-3770
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777
245 Medical Park Dr
Marion, VA 24354
Phone (276) 378-1000
Interoperability endpoints
- smccauley18274@balladhealth.medalliesdirect.net
Organizations & group practices 10
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.
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
VA
-
- Family Nurse Practitioner
- Charlottesville, VA
- NPI 1912472978
Family, VA
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1174808216
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1619263068
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Durable Medical Equipment & Medical Supplies
- Marion, VA
- NPI 1750433389
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1619680188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-032-6567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207430",
"telephone_number": "423-844-1121"
}
],
"practiceLocations": [
{
"address_1": "1020 Terrace Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "VA",
"postal_code": "243544393",
"country_code": "US",
"telephone_number": "276-783-7167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "VA",
"postal_code": "243541100",
"country_code": "US",
"telephone_number": "276-378-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16000 Johnston Memorial Dr Ste 313",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117664",
"country_code": "US",
"telephone_number": "276-258-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCAULEY",
"first_name": "STEPHANIE",
"middle_name": "PAIGE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-29",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024186022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.