Individual provider Active NPI

Stephanie Paige McCauley, FNP

  • Family Nurse Practitioner
  • Bristol, TN
National Provider Identifier
1619680188
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186022 Issued in VA
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

Updated by the provider on Dec 15, 2023

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 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, 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
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 IncGroup PAC ID 8123291739, 432 clinicians
Abingdon Physician PartnersGroup PAC ID 5991705667, 39 clinicians
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, 283 clinicians
Integrated Wound Healing,LLCGroup PAC ID 3870837974, 8 clinicians

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 Hospital, Bristol, TN, CCN 440012
  • Smyth County Community Hospital Hospital, Marion, VA, CCN 490038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024186022VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc CurrentSince Nov 1, 2023 Accepting new patients
Integrated Wound Healing,LLC Family CurrentSince Jan 16, 2026 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2023 Accepting new patients
Abingdon Physician Partners CurrentSince Jan 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.