STACEY ELIZABETH UGARTECHEA (FNP-C) – Family Nurse Practitioner, NPI 1124807136

STACEY ELIZABETH UGARTECHEA (FNP-C) is a healthcare provider. based in Midland, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4704311291 (MI). The NPI Number for STACEY ELIZABETH UGARTECHEA (FNP-C) is 1124807136

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
STACEY ELIZABETH UGARTECHEA (FNP-C)
NPI
1124807136
Phone
(989) 839-9937
Address
920 W WACKERLY ST
Enumeration Date
28 September 2023
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898399937
Graduation Year
2023 (3 years ago)
PAC ID
4082064845
Group Practice PAC ID
4385547751
Professional Enrollment ID
I20231220002568
Address ID
MI486402700MI920XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for STACEY ELIZABETH UGARTECHEA (FNP-C)

  • 920 W WACKERLY ST

    MIDLAND, MI 486402798

    Phone: (989) 839-9937

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($22).

Total Amount

$68

General + Research + Ownership

Payments

4

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-12-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231220002568INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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 48640)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385547751View full group profile
NameSpecialtyState
Physician AssistantMI
-MI
Nurse PractitionerMI
-MI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for STACEY ELIZABETH UGARTECHEA (FNP-C)?
STACEY ELIZABETH UGARTECHEA (FNP-C) — NPI 1124807136 — is the standard way to identify this listing.
Can I rely on STACEY ELIZABETH UGARTECHEA (FNP-C) being an active provider?
As of the registry snapshot, STACEY ELIZABETH UGARTECHEA (FNP-C) is marked active.
What taxonomy line describes STACEY ELIZABETH UGARTECHEA (FNP-C)?
For research purposes, treat STACEY ELIZABETH UGARTECHEA (FNP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does STACEY ELIZABETH UGARTECHEA (FNP-C) serve?
STACEY ELIZABETH UGARTECHEA (FNP-C)'s listing highlights Midland, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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