STACIA NICHOLE GUILLEN (FNP-C) – Primary Care Nurse Practitioner, NPI 1609206523
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for STACIA NICHOLE GUILLEN (FNP-C)
4020 THORNGATE DR
WILLIAMSBURG, VA 231881426
Phone: (714) 642-6149
Fax: (831) 603-0371
Type: Location
101 COVENTRY WAY
MOUNT LAUREL, NJ 080546701
Phone: (714) 642-6149
Type: Mailing
239 HURFFVILLE CROSSKEYS RD
SEWELL, NJ 080804002
Phone: (856) 341-8205
Type: Location
825 DILIGENCE DR STE 226
NEWPORT NEWS, VA 236064293
Phone: (855) 940-4867
Type: Location
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 $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2023-08-18 • Largest payer in this snapshot: BioCryst US Sales Co., LLC ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BioCryst US Sales Co., LLC | $29 |
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: 2026-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20251202000583 | I | Nurse Practitioner | VA | TBD |
| I20260312003593 | I | Nurse Practitioner | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23188)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| - | FL | |
| - | MD | |
| Physician Assistant | VA | |
| - | VA | |
| Family Practice, Preventive Medicine | VA | |
| Physician Assistant | VA | |
| - | TX | |
| Nurse Practitioner | VA |
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