STACEY LYN ICE (CNP) – Family Nurse Practitioner, NPI 1861845786
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for STACEY LYN ICE (CNP)
4235, Secor Road, Deaveaux, Toledo, Lucas County, Ohio, 43623, United States
TOLEDO, OH 436234231
Phone:
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 158 Open Payments records for all available years, with a total value of $5,075.
Total Amount is formed as General ($5,075) + Research ($0) + Ownership ($0) = $5,075.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Medtronic, Inc. ($2,413).
Total Amount
$5,075
General + Research + Ownership
Payments
158
Total payment records
General Amount
$5,075
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,413 |
| Nevro Corp. | $702 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $411 |
| PFIZER INC. | $283 |
| Relievant Medsystems, Inc. | $153 |
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: 2016-09-09
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 |
|---|---|---|---|---|
| I20160909002586 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 826 | 221 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 292 | 147 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 68 | $0 |
| 95991 | Maintenance of spinal canal or brain drug infusion pump by health care professional | 31 | 17 | $0 |
Insurance plans in this area (ZIP 43623)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation, Pain Management | FL | |
| Nurse Practitioner | OH | |
| - | OH | |
| Physical Therapist In Private Practice | OH | |
| A N E S T H E S I O L O G Y | OH | |
| Interventional Pain Management, Anesthesiology | OH | |
| Nurse Practitioner | OH | |
| Physical Therapist In Private Practice | OH | |
| Emergency Medicine | MI | |
| - | OH |
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