STACY WILLNER (DO) – Cardiovascular Disease Physician, NPI 1013447259
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,221 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI
Provider Addresses for STACY WILLNER (DO)
2799 W Grand Blvd
Detroit, MI 482022608
Phone: (313) 916-2600
Type: Location
3601 W 13 Mile Rd
Royal Oak, MI 480736712
Phone: (248) 551-3000
Type: Location
39901 TRADITIONS DR
NORTHVILLE, MI 481689493
Phone: (888) 287-1082
Type: Location
Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States
ROYAL OAK, MI 480736712
Phone: (248) 551-3000
Type: Mailing
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $177.
Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.
Last reported payment date: 2023-11-06 • Largest payer in this snapshot: Abbott Laboratories ($177).
Total Amount
$177
General + Research + Ownership
Payments
1
Total payment records
General Amount
$177
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $177 |
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: 2024-10-17
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 |
|---|---|---|---|---|
| I20241017003410 | I | Cardiovascular Disease (Cardiology) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48202)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | FL | |
| Physical Medicine And Rehabilitation | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Internal Medicine, Pediatric Medicine | IL | |
| - | MI | |
| Physician Assistant | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.