MS. STACEY ANN BRADLEY ACNPC-AG
NPI 1174293872
Nurse Practitioner in Wilmington, NC

Active since September 15, 2021PECOS EnrolledAccepts Medicare Assignment
2131 S 17TH ST, WILMINGTON, NC 28401(910) 667-7000 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2021, Sep 15, 2021 (2 updates tracked since 2021).

About Ms. Stacey Ann Bradley Acnpc-ag NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STACEY ANN BRADLEY ACNPC-AG (NPI 1174293872) is an individual nurse practitioner in Wilmington, North Carolina, licensed in North Carolina (5015071) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174293872
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. STACEY ANN BRADLEYCredential: ACNPC-AG
Location Address2131 S 17TH STWilmington, NC 28401-7407
Mailing AddressPo Box 936857Atlanta, GA 31193-6857 · (910) 662-7500 · Fax (910) 662-7501
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 15, 2021
Last NPPES UpdateNovember 24, 20212 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
NPI 1174293872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5015071
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License BRAD-DDBS5 (NC)
2131 S 17TH ST, Wilmington, NC 28401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Stacey Ann Bradley Acnpc-ag is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971992025
PECOS Enrollment IDI20211111002006
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Hospital
2131 S 17TH ST
WILMINGTON, NC 28401
Nurse Practitioner (Neonatal, Critical Care)
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Family Medicine
2131 S 17TH ST
WILMINGTON, NC 28401
Registered Nurse (Critical Care Medicine)
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Nurse Practitioner
2131 S 17TH ST
WILMINGTON, NC 28401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Bradley's NPI number?

The NPI number for Stacey Bradley is 1174293872. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Where is Stacey Bradley located?

Stacey Bradley practices at 2131 S 17th St, Wilmington, NC 28401. The listed phone number is (910) 667-7000.

What is Stacey Bradley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stacey Bradley enrolled in Medicare?

Yes. Stacey Bradley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacey Bradley accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Stacey Bradley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stacey Bradley affiliated with any hospitals?

According to CMS data, Stacey Bradley is affiliated with Novant Health New Hanover Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stacey Bradley was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.