MRS. STACI S O'DELL (APNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083688295

MRS. STACI S O'DELL (APNP) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 131460-030 (WI). The NPI Number for MRS. STACI S O'DELL (APNP) is 1083688295

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACI S O'DELL (APNP)
NPI
1083688295
Phone
(414) 727-6320
Address
HEALTHCARE FOR THE HOMELESS OF MILWAUKEE, INC
Enumeration Date
14 February 2006
Last Update Date
13 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4147276320
Graduation Year
2005 (21 years ago)
PAC ID
3678591534
Group Practice PAC ID
1355247735
Professional Enrollment ID
I20120224000494
Address ID
WI532121185MI220XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,066 NURSE PRACTITIONER in WI

Provider Addresses for MRS. STACI S O'DELL (APNP)

  • HEALTHCARE FOR THE HOMELESS OF MILWAUKEE, INC

    210 WEST CAPITOL DRIVE

    MILWAUKEE, WI 53212

    Phone: (414) 727-6320

    Fax: (414) 727-6321

    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 7 Open Payments records for all available years, with a total value of $317.

Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($122).

Total Amount

$317

General + Research + Ownership

Payments

7

Total payment records

General Amount

$317

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-02-24

PECOS data refreshed: 2026-06-15

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
I20120224000494INurse PractitionerWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53212)

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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: 1355247735View full group profile
NameSpecialtyState
Family PracticeWI
Family PracticeWI
Family PracticeWI
-WI
Clinical Social WorkerWI
Family PracticeWI
Internal MedicineWI
P S Y C H I A T R YMA
Nurse PractitionerWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What identifier follows MRS. STACI S O'DELL (APNP) across health systems?
The NPI 1083688295 uniquely identifies MRS. STACI S O'DELL (APNP) in U.S. healthcare data.
Should I treat MRS. STACI S O'DELL (APNP) as an active provider?
Patients and plans typically see MRS. STACI S O'DELL (APNP) as active in the national extract.
Which specialty label fits MRS. STACI S O'DELL (APNP)?
NPPES ties MRS. STACI S O'DELL (APNP) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. STACI S O'DELL (APNP)?
The directory associates MRS. STACI S O'DELL (APNP) with Milwaukee, Wisconsin. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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