Stacie K. Grantham, CFNP
NPI 1215175278ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Jackson, TN
Nurse Practitioner, Psych/Mental Health (CFNP) with Total Extended Care Services PC, practicing in Jackson, Tennessee. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1215175278 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CFNP |
| Sole proprietor | No |
| NPI issued | Jan 29, 2009 |
| Last updated in NPPES | Sep 7, 2021 |
| Certified by provider | Aug 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | APN13513 | TN |
| Nurse Practitioner, Family | 363LF0000X | 13513 | TN |
| Nurse Practitioner, Family | 363LF0000X | APN13513 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS); Practitioner - Nurse Practitioner (TN) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Total Extended Care Services PCLivonia, MI · 33 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 36 psychiatric nurse practitioners in Jackson · All psychiatric nurse practitioners in Tennessee