MR. STACY WILSON (APRN) – Acute Care Nurse Practitioner, NPI 1194215244
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
887 NURSE PRACTITIONER in HI
Provider Addresses for MR. STACY WILSON (APRN)
1872 GALLEON ST
NORTH BAY VILLAGE, FL 331414330
Phone: (305) 497-3745
Type: Mailing
1601 ULUPUNI ST
KAILUA, HI 967344452
Phone: (808) 979-6875
Type: Location
9973 58TH ST E
PARRISH, FL 342194443
Phone: (808) 979-6875
Type: Mailing
333 TAMIAMI TRL S STE 101
VENICE, FL 342852425
Phone: (808) 979-6875
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $1,766.
Total Amount is formed as General ($1,766) + Research ($0) + Ownership ($0) = $1,766.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Lilly USA, LLC ($261).
Total Amount
$1,766
General + Research + Ownership
Payments
76
Total payment records
General Amount
$1,766
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $261 |
| Collegium Pharmaceutical, Inc. | $201 |
| Boston Scientific Corporation | $184 |
| Vertos Medical, Inc. | $166 |
| Galt Pharmaceuticals, LLC | $99 |
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: 2021-11-03
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 |
|---|---|---|---|---|
| I20211103003337 | I | Nurse Practitioner | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 981 | 408 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 507 | 291 | $0 |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 487 | 285 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 326 | 189 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 158 | 113 | $0 |
Insurance plans in this area (ZIP 33141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| P O D I A T R Y | FL | |
| Mental Health Counselor | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Pain Management, Anesthesiology | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| R H E U M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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