STACEY WATSON – Internal Medicine Physician, NPI 1003926049
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
Provider Addresses for STACEY WATSON
1717 SHAFFER STREET
SUITE 002
KALAMAZOO, MI 49048
Phone:
Fax: (269) 552-2964
Type: Mailing
5943, Stadium Drive, Oshtemo, Oshtemo Township, Kalamazoo County, Michigan, 49009, United States
SUITE 3
KALAMAZOO, MI 490093016
Phone:
Type: Mailing
7125 Stadium Dr
Kalamazoo, MI 490094943
Phone: (269) 492-6575
Fax: (269) 492-6577
Type: Location
235 Wealthy St SE
Grand Rapids, MI 495035247
Phone: (616) 840-8005
Fax: (616) 840-9642
Type: Location
235 WEALTHY ST SE
GRAND RAPIDS, MI 495035247
Phone: (616) 840-8005
Fax: (616) 840-9642
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone:
Type: Mailing
8450, North 32nd Street, Richland, Richland Township, Kalamazoo County, Michigan, 49083, United States
RICHLAND, MI 490839418
Phone: (269) 552-2500
Fax: (269) 552-2545
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-06-04
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 |
|---|---|---|---|---|
| I20100604001163 | I | Internal Medicine | MI | 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 | 266 | 158 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 57 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 34 | 34 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 30 | 23 | $0 |
Insurance plans in this area (ZIP 49048)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| - | MI | |
| - | IN | |
| Gastroenterology, Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| N E U R O L O G Y | MI | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | MI | |
| Family Practice | MI | |
| N E U R O L O G Y | GA |
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