STACIE MICHELLE WILSON (AGNP-ACHPN) – Internal Medicine Physician, NPI 1902469075
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for STACIE MICHELLE WILSON (AGNP-ACHPN)
9603 WHISTLER CT
SAINT LOUIS, MO 631143246
Phone: (636) 295-6565
Type: Mailing
91 FLORISSANT OAKS SHOP CTR
FLORISSANT, MO 630313934
Phone: (314) 831-8600
Type: Location
621 S NEW BALLAS RD STE 6017B
SAINT LOUIS, MO 631418274
Phone: (314) 251-7840
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $187.
Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.
Last reported payment date: 2023-04-26 • Largest payer in this snapshot: Novo Nordisk Inc ($53).
Total Amount
$187
General + Research + Ownership
Payments
11
Total payment records
General Amount
$187
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $53 |
| Lilly USA, LLC | $30 |
| Takeda Pharmaceuticals U.S.A., Inc. | $20 |
| Amgen Inc. | $19 |
| IRONWOOD PHARMACEUTICALS, INC | $19 |
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: 2019-06-11
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 |
|---|---|---|---|---|
| I20190611003652 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 63 | 35 | $0 |
| 99497 | Advance care planning, first 30 minutes | 53 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 49 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 40 | 25 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 30 | 27 | $0 |
Insurance plans in this area (ZIP 63114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Internal Medicine | MO | |
| Internal Medicine, Hospice/Palliative Care | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Internal Medicine, Geriatric Medicine, Hospice/Palliative Care | MO | |
| Internal Medicine | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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