MS. STACEY ANN BRADLEY ACNPC-AG
NPI 1174293872
Nurse Practitioner in Wilmington, NC
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 maintains a secondary practice location in Wilmington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilmington, NC 28401
- Reassigned Medicare billing, North Carolina enrollment
- 710 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NCPhysician 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.
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.
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.
Which organization bills Medicare for Stacey Bradley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Bradley reassigns Medicare benefits to Novant Health Medical Group Coastal Region, LLC (Wilmington, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Bradley accept?
Health plans from Blue Cross and Blue Shield of NC 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.
# Ms. Stacey Ann Bradley, ACNPC-AG · NPI 1174293872
Nurse Practitioner physician in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since September 15, 2021.
## Identity
- **NPI:** 1174293872 (Entity type: Individual)
- **Enumerated:** September 15, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5015071 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2131 S 17TH ST, Wilmington, NC 28401-7407
- **Phone:** (910) 667-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Novant Health Medical Group Coastal Region, LLC (NPI 1033799556, Wilmington, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174293872) · Data from the CMS NPPES public registry.