Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael A. Stanley

Individual provider Nurse Practitioner · NPI 1164313912

Michael A. Stanley is a Nurse Practitioner in Hendersonville, Tennessee. Qualified in 2025, 1 year ago. Practices with Imc-Diagnostic and Medical Clinic LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
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Practice location Address checks out

355 New Shackle Island Rd
Hendersonville, TN 37075-2479
Phone: (615) 338-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 197129 (TN)

Record details

NPI number1164313912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2025
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address109 Wynbrooke Trce, Hendersonville, TN 37075-6706

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Imc-Diagnostic And Medical Clinic Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Hendersonville