Stacey Hawkins

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

39332 Issued in TN

Practice address

101 Kinsey Way
Newport, TN 37821-7782

Phone

(269) 275-8766

NPI assigned

Apr 1, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultacare Medical PLLCGroup PAC ID 4789687484, 52 clinicians

Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ultacare Medical PLLC

  • Family Medicine Physician
  • New Tazewell, TN
  • NPI 1225141492
  Medicare reassignment Care Compare group NPD (past)
• Coffee Medical Group LLC

  • Rural Health Clinic/Center
  • Manchester, TN
  • NPI 1700192028
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1952796401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KINSEY WAY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217782",
            "telephone_number": "269-275-8766",
            "fax_number": "423-623-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KINSEY WAY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217782",
            "telephone_number": "269-275-8766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Generation Dr",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378218018",
            "country_code": "US",
            "telephone_number": "423-623-0929",
            "fax_number": "423-623-0273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "39332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP CERTIFICATE NUMBER",
            "identifier": "39332",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "4704279396",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harmony Oaks Recovery Center, LLC
• Kabir David Harricharan Singh, MD
• Rajkamal Harricharan Singh
• Meghan Hart, NP
• Melissa Sherie Hauser
• Brandi Michelle Haynes, NP
• Health Ventures, Inc.
• Healthstar Physicians, P.C.
• Healthstar Physicians, P.C.
• Healthstar Physicians, P.C.

• Family Nurse Practitioner in Newport, TN
• Providers in Newport, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.

Verify at the official NPI Registry.