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

Stacey Hawkins

Individual provider Family Nurse Practitioner · NPI 1952796401

Stacey Hawkins is a Nurse Practitioner in Newport, Tennessee. Qualified in 2025, 1 year ago. Practices with Ultacare Medical PLLC, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2015
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Practice location Address checks out

101 Kinsey Way
Newport, TN 37821-7782
Phone: (269) 275-8766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 135 Generation Dr, Newport, TN 37821-8018 — (423) 623-0929

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 39332 (TN)

Record details

NPI number1952796401
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2015
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address101 Kinsey Way, Newport, TN 37821-7782

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 Ultacare Medical Pllc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Newport