STACEY BERLIN (NP) – Family Nurse Practitioner, NPI 1902467228

STACEY BERLIN (NP) is a healthcare provider. based in Davison, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2018076507 (MI). The NPI Number for STACEY BERLIN (NP) is 1902467228

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
STACEY BERLIN (NP)
NPI
1902467228
Phone
Not provided
Address
1515 CAL DR
Enumeration Date
26 June 2019
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9895830100
Graduation Year
2018 (8 years ago)
PAC ID
5799014940
Group Practice PAC ID
2769387778
Professional Enrollment ID
I20190912002618
Address ID
MI486033583SA5570XSTXX300

Contacts

Secure Messaging
sberlin23395@direct.hurleymc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

8,105 NURSE PRACTITIONER in MI

Provider Addresses for STACEY BERLIN (NP)

  • 1515 CAL DR

    DAVISON, MI 484239016

    Phone:

    Type: Mailing

  • 5758 COOLEY LAKE RD

    WATERFORD, MI 483273073

    Phone: (855) 466-3631

    Type: Location

  • 5392 EASY ST

    BAY CITY, MI 487063053

    Phone:

    Type: Mailing

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: ABBVIE INC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$19
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: 2019-09-12

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
I20190912002618INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes21368$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes4626$0
99497Advance care planning, first 30 minutes2524$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1513$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 48423)

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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: 2769387778View full group profile
NameSpecialtyState
Neurology, Internal MedicineMI
-MI
-MI
Pulmonary Disease, Critical Care (Intensivists)MI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Family PracticeMI
Internal MedicineMI
Internal MedicineOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for STACEY BERLIN (NP)?
STACEY BERLIN (NP) — NPI 1902467228 — is the standard way to identify this listing.
Can I rely on STACEY BERLIN (NP) being an active provider?
As of the registry snapshot, STACEY BERLIN (NP) is marked active.
What taxonomy line describes STACEY BERLIN (NP)?
For research purposes, treat STACEY BERLIN (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is STACEY BERLIN (NP) based?
STACEY BERLIN (NP) is tied to Davison, Michigan in the data we show; additional addresses may exist on the full record.
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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