STACEY L JODICE (DNP, FNP-BC) – Primary Care Nurse Practitioner, NPI 1760038202
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for STACEY L JODICE (DNP, FNP-BC)
333 1st St Ste A
San Francisco, CA 941052661
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
276 Turnpike Rd Ste 223
Westborough, MA 015810613
Phone: (413) 329-9017
Fax: (413) 228-3672
Type: Location
28 HYCREST RD
CHARLTON, MA 015071568
Phone: (413) 329-9017
Type: Mailing
800 HUNTINGTON AVE FL 3
BOSTON, MA 021156303
Phone: (617) 525-9548
Type: Location
9 CIRRUS DR APT 210
ASHLAND, MA 017214462
Phone: (413) 329-9017
Type: Mailing
24 LYMAN ST STE 300
WESTBOROUGH, MA 015811484
Phone: (508) 366-7100
Fax: (508) 366-7303
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Merz North America, Inc. ($150).
Total Amount
$150
General + Research + Ownership
Payments
1
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz North America, Inc. | $150 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240913002538 | I | Nurse Practitioner | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | MD | |
| - | MA | |
| Critical Care (Intensivists), Pulmonary Disease | FL | |
| Physician Assistant | MA | |
| N E U R O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Orthopedic Surgery | MA | |
| Physician Assistant | NH | |
| Nurse Practitioner | MA | |
| P A T H O L O G Y | MA |
Reviews
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