Individual provider Active NPI

Stephanie K Cagle, FNP

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1821565235
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R902616 Issued in MS
Practice address
218 S Thomas St Ste 120-121
Tupelo, MS 38801
Phone
(662) 891-8662
Fax
(662) 269-1775
NPI assigned
Oct 24, 2018
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 APN24782 TN
Family Nurse Practitioner 363LF0000X R902616 MS Primary

Addresses

Primary practice location

218 S Thomas St Ste 120-121
Tupelo, MS 38801

Mailing address

218 S Thomas St Ste 120-121
Tupelo, MS 38801-5330
Phone (662) 891-8662

Other practice location 1

609 Brunson Dr
Tupelo, MS 38801-4948
Phone (662) 891-8662

Other practice location 2

122 Airways Pl
Southaven, MS 38671-5872
Phone (662) 349-9990 ext. 136

Other practice location 3

609 Brunson Dr
Tupelo, MS 38801-4948
Phone (662) 891-8662

Other practice location 4

2016 Greystone Sq
Jackson, TN 38305-3575
Phone (731) 664-1773

Other practice location 5

2908 S LaMar Blvd Ste 300
Oxford, MS 38655-5375
Phone (662) 236-5442

Other practice location 6

146 Timber Creek Dr Ste 200
Cordova, TN 38018-4474
Phone (901) 751-4112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, 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
I20181214001017 MS Practitioner - Nurse Practitioner 8123363454 Reassigns benefits to 1 organization
I20181217002839 TN Practitioner - Nurse Practitioner 8123363454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael E Steuer, MD, PCGroup PAC ID 0648229971, shared by 5 NPIs, 15 clinicians

Practice addresses (Care Compare)

122 Airways PL
Southaven, MS 38671-5872
Phone (662) 349-9990

146 Timber Creek Dr
Suite 200
Cordova, TN 38018-4474
Phone (901) 751-4112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R902616MSMDFamily Nurse Practitioner
APN24782TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E Steuer MD PC Current Accepting new patients
Midsouth Interventional Pain Institute, LLC Current Accepting new patients
Michael E. Steuer MD PC CurrentSince Oct 29, 2018 Accepting new patients
Michael E Steuer, MD, PC CurrentSince Oct 29, 2018 Accepting new patients
Michael E Steuer MD PC Past Accepting new patients
Midsouth Pain Treatment Center Past Accepting new patients

Locations

2908 S Lamar Blvd
Ste 300
Oxford, MS 38655
Phone (662) 236-5442

122 Airways Pl
Southaven, MS 38671
Phone (662) 349-9426

218 S Thomas St
Ste 120
Tupelo, MS 38801
Phone (662) 269-3870

218 S Thomas St
Ste 120121
Tupelo, MS 38801
Phone (662) 891-8662

146 Timber Creek Dr
Ste 200
Cordova, TN 38018
Phone (901) 751-4112

1004 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773

2016 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHDDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1821565235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S THOMAS ST STE 120-121",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015330",
            "telephone_number": "662-891-8662",
            "fax_number": "662-269-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S THOMAS ST STE 120-121",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-891-8662",
            "fax_number": "662-269-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Brunson Dr",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014948",
            "country_code": "US",
            "telephone_number": "662-891-8662",
            "fax_number": "662-269-1775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Airways Pl",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386715872",
            "country_code": "US",
            "telephone_number": "662-349-9990 x136",
            "fax_number": "662-349-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Brunson Dr",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014948",
            "country_code": "US",
            "telephone_number": "662-891-8662",
            "fax_number": "662-269-1775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2016 Greystone Sq",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053575",
            "country_code": "US",
            "telephone_number": "731-664-1773",
            "fax_number": "731-664-1751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2908 S LaMar Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555375",
            "country_code": "US",
            "telephone_number": "662-236-5442",
            "fax_number": "662-236-5295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 Timber Creek Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184474",
            "country_code": "US",
            "telephone_number": "901-751-4112",
            "fax_number": "901-751-9878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAGLE",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN24782",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R902616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.