STACI DAMIANI – Adult Health Nurse Practitioner, NPI 1043753502

STACI DAMIANI is a healthcare provider. based in Trenton, Michigan. specializing in Adult Health Nurse Practitioner. They hold a License No. 4704273650 (MI). The NPI Number for STACI DAMIANI is 1043753502

Main info

Female
Sole Proprietor
Name
STACI DAMIANI
NPI
1043753502
Phone
(734) 676-8530
Address
1675 KINGSWAY CT
Enumeration Date
30 November 2016
Last Update Date
30 November 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for STACI DAMIANI

  • 1675, Kingsway Court, Trenton, Wayne County, Michigan, 48183, United States

    TRENTON, MI 481831958

    Phone: (734) 676-8530

    Fax: (734) 676-2319

    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 239 Open Payments records for all available years, with a total value of $4,109.

Total Amount is formed as General ($4,109) + Research ($0) + Ownership ($0) = $4,109.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($853).

Total Amount

$4,109

General + Research + Ownership

Payments

239

Total payment records

General Amount

$4,109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2017-07-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170712002642INurse PractitionerMITBD

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 48183)

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Reviews

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Frequently asked questions

What number should I use to identify STACI DAMIANI for billing?
Administrative and clinical systems typically use NPI 1043753502 for STACI DAMIANI.
Does the public listing show STACI DAMIANI as active?
STACI DAMIANI's NPI record reflects an active status in NPPES.
Which specialty label fits STACI DAMIANI?
NPPES ties STACI DAMIANI to Adult Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STACI DAMIANI?
STACI DAMIANI is associated with Trenton, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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