Stephanie M Childress, FNP-C - Medicare Nurse Practitioner in Johnson City, TN

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Stephanie M Childress, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice State Of Franklin Healthcare Associates, Pllc and her current practice location is 316 Marketplace Blvd Ste 20, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 794-5580.

Stephanie M Childress is licensed to practice in Tennessee (license number 25106) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548737935.

Contact Information

Stephanie M Childress, FNP-C
316 Marketplace Blvd Ste 20,
Johnson City, TN 37604-2596
(423) 794-5580
(423) 232-8561

Map and Direction




Provider's Profile

Full NameStephanie M Childress
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location316 Marketplace Blvd Ste 20, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephanie M Childress graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1548737935
  • Provider Enumeration Date: 10/24/2018
  • Last Update Date: 11/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365770328
  • Enrollment ID: I20190828004238

Medical Identifiers

Medical identifiers for Stephanie M Childress such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548737935NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 25106 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Franklin Healthcare Associates, Pllc2466346291247

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie M Childress allows following entities to bill medicare on her behalf.
Entity NameState Of Franklin Healthcare Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459410
PECOS PAC ID: 2466346291
Enrollment ID: O20040211001101
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie M Childress is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie M Childress, FNP-C
Po Box 3889,
Johnson City, TN 37602-3889

Ph: (423) 794-5520		Stephanie M Childress, FNP-C
316 Marketplace Blvd Ste 20,
Johnson City, TN 37604-2596

Ph: (423) 794-5580

Reviews and Comments


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Connie T Rutledge, NP
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Charity Helton, FNP
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Michael David Smith, NURSE PRACTITIONER
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Shelly J Mcintosh, FNP
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Mr. Seth M Mclaughlin, FNP NP-C
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.