Individual provider Active NPI

Connor Stickler, FNP-BC

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1780302463
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32093 Issued in TN
Practice address
130 S Maple St
Murfreesboro, TN 37130-3530
Phone
(615) 217-4770
NPI assigned
Aug 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 32093 TN Primary

Addresses

Primary practice location

130 S Maple St
Murfreesboro, TN 37130-3530

Mailing address

130 S Maple St
Murfreesboro, TN 37130-3530
Phone (615) 217-4770

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
I20230327002195 TN Practitioner - Nurse Practitioner 7517331929 Reassigns benefits to 2 organizations

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
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

1015 N Highland St
Murfreesboro, TN 37130
Phone (615) 895-3233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Apr 1, 2024 Accepting new patients
Maple St Medical PLLC CurrentSince Mar 2, 2023 Accepting new patients

Locations

130 S Maple St
Murfreesboro, TN 37130
Phone (615) 217-4770

1015 N Highland Ave
Murfreesboro, TN 37130
Phone (615) 396-6620

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: connor.stickler.1@7654.direct.athenahealth.com

Organizations & group practices 2

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1780302463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAPLE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303530",
            "telephone_number": "615-217-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAPLE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303530",
            "telephone_number": "615-217-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLER",
        "first_name": "CONNOR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.