Individual ProviderStacy McauleyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address711 Main St, Nashville, TN 37206-3605(615) 620-7705(615) 260-5564PECOS EnrollmentBased on the most recent information from CMS, provider Stacy Mcauley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1942608567Provider TypeIndividualFull NameMcauley, StacyTitleMrs.CredentialFNP-CGenderFemaleSole ProprietorYesEnumeration Date12/12/2014Last Updated9/26/2018Contact InformationPractice LocationPractice Address711 Main St, Nashville, TN 37206-3605Phone(615) 620-7705FaxUnlisted FaxMailing LocationMailing Address6528 Westfall Dr, Nashville, TN 37221-6543Phone(615) 260-5564FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense164761Tennessee