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MR. STACY WILSON APRN
NPI 1194215244
Nurse Practitioner - Acute Care in Venice, FL

Active since May 15, 2018PECOS Enrolled
42.68/100
CMS Quality Rating
333 TAMIAMI TRL S STE 101, VENICE, FL 34285(808) 979-6875 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2021, Dec 24, 2020, Aug 25, 2020 and 2 more (5 updates tracked since 2018).

About Mr. Stacy Wilson Aprn NPPES

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

MR. STACY WILSON APRN (NPI 1194215244) is an individual acute care provider in Venice, Florida, licensed in Hawaii (APRN-2822) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194215244
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. STACY WILSONCredential: APRN
Location Address333 TAMIAMI TRL S STE 101Venice, FL 34285-2425
Mailing Address9973 58th St EParrish, FL 34219-4443 · (808) 979-6875
Phone(808) 979-6875
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 15, 2018
Last NPPES UpdateOctober 14, 20215 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1194215244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in HI · APRN-2822✔ Licensed in FL · APRN9431499
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN9431499 (FL)
333 TAMIAMI TRL S STE 101, Venice, FL 34285
Open in Google Maps ↗

Other Names 1

Professional Name (2)Mr. Stacy Wilson Aprn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Stacy Wilson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052709490
PECOS Enrollment IDI20211103003337
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
589 services317 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
558 services291 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
534 services288 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
388 services240 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
81 services74 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
64 services59 patients

Hospital Affiliations CMS Care Compare

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34285 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

42.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability97
Improvement Activities0
Cost61.45

Other Providers at the Same Location NPPES 4

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

RESTORE MEDICAL PARTNERS PLLC
Physical Medicine & Rehabilitation (Pain Medicine)
333 TAMIAMI TRL S STE 101
VENICE, FL 34285
Sarasota County (941) 375-3006
RESTORE MEDICAL GROUP, LLC
Clinic/Center
333 TAMIAMI TRL S STE 101
VENICE, FL 34285
Sarasota County (941) 375-3006
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Internal Medicine (Pulmonary Disease)
333 TAMIAMI TRL S STE 101
VENICE, FL 34285
Sarasota County (941) 483-7651
DR. GERALD L NICKERSON JR. MD
Physical Medicine & Rehabilitation
333 TAMIAMI TRL S STE 101
VENICE, FL 34285
Sarasota County (941) 375-3006

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 Stacy Wilson's NPI number?

The NPI number for Stacy Wilson is 1194215244. It was assigned to this individual provider in the NPPES registry on May 15, 2018. The provider is also known as Mr. Stacy Wilson Aprn.

Where is Stacy Wilson located?

Stacy Wilson practices at 333 Tamiami Trl S Ste 101, Venice, FL 34285. The listed phone number is (808) 979-6875.

What is Stacy Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Stacy Wilson enrolled in Medicare?

Yes. Stacy Wilson is registered in the Medicare PECOS enrollment system.

Is Stacy Wilson affiliated with any hospitals?

According to CMS data, Stacy Wilson is affiliated with Sarasota Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stacy Wilson was last updated on October 14, 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.