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

Stacia Keyunia Tate, FNP

Individual provider Nurse Practitioner · NPI 1699089862

Stacia Keyunia Tate, FNP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2009, 17 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
17
Licensed in
NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

9332 S Tryon St
Charlotte, NC 28273-3108
Phone: (704) 587-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5717 Albemarle Rd, Charlotte, NC 28212-1634 — (704) 563-2150
  • 10210 Couloak Dr, Charlotte, NC 28216-7679 — (704) 801-2000
  • 7810 Providence Rd, Charlotte, NC 28226-2954 — (704) 543-6636
  • 5727 Prosperity Crossing Dr, Charlotte, NC 28269-2206 — (704) 863-9930

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5004759 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5004759 (NC)

Record details

NPI number1699089862
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 30, 2010
Last updated in NPPESMarch 9, 2023
Certification dateJanuary 3, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients170
Services billed 400 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Carolinas Physicians Network Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2328 clinicians in the practice; 12 are shown here.

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