STACI MARIE HOMAN (CNP) – Family Nurse Practitioner, NPI 1568024784
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for STACI MARIE HOMAN (CNP)
6117 CHIDESTER DR
CANFIELD, OH 444069749
Phone: (330) 718-5048
Type: Mailing
39141 FARRINGTON AVE
LEETONIA, OH 444318709
Phone: (330) 718-5048
Type: Location
7630 Southern Blvd
Youngstown, OH 445125633
Phone: (330) 729-8000
Fax: (330) 729-8084
Type: Location
8530 N PALMYRA RD
CANFIELD, OH 444069791
Phone: (330) 718-5048
Type: Mailing
8401 MARKET ST
YOUNGSTOWN, OH 445126725
Phone: (330) 729-1112
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: 2019-10-17
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 |
|---|---|---|---|---|
| I20191017000332 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 33 | 33 | $0 |
Insurance plans in this area (ZIP 44406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | WV | |
| Emergency Medicine | VA | |
| Nurse Practitioner | OH | |
| Emergency Medicine | NJ | |
| Emergency Medicine | IL | |
| Emergency Medicine | OH |
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