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STACY WILLIAMS
NPI 1386243871
Nurse Practitioner - Psychiatric/Mental Health in Doral, FL

Active since October 26, 2020PECOS Enrolled
8450 NW 102ND AVE, DORAL, FL 33178(360) 643-6562 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2023, Aug 16, 2022, Feb 8, 2022 and 1 more (4 updates tracked since 2020).

About Stacy Williams NPPES

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

STACY WILLIAMS (NPI 1386243871) is an individual psychiatric/mental health provider in Doral, Florida, licensed in Florida (APRN11012260) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1386243871
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACY WILLIAMS
Location Address8450 NW 102ND AVEDoral, FL 33178-4750
Mailing Address3235 Satellite Blvd Ste 300Duluth, GA 30096-8688 · (678) 235-4853 · Fax (619) 415-8449
Phone(360) 643-6562
Sole ProprietorYes
Enumeration DateOctober 26, 2020
Last NPPES UpdateFebruary 14, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2026
✔ NPI 1386243871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in FL · APRN11012260✔ Licensed in CO · C-RXN.0001379✔ Licensed in NJ · 26NO11881100✔ Licensed in WA · APRN61166084-NP✔ Licensed in DE · L8-0010602✔ Licensed in TX · 1071418✔ Licensed in GA · RN225736✔ Licensed in CA · 9501782✔ Licensed in IA · G168450✔ Licensed in NV · 883500✔ Licensed in OR · 202104630NP-PP✔ Licensed in UT · 13815972-4405
8450 NW 102ND AVE, Doral, FL 33178
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Other Names 1

Former Name (1)Stacy Wideman Pmhnp-bc

Secondary Practice Location 1

Location 13235 Satellite Blvd Ste 300Duluth, GA 30096-8688 · Phone (360) 643-6562 · Fax (619) 415-8449

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personal Recovery Network LLC
576 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33178 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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

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

INVIGORATION HEALTH CORP
Nurse Practitioner (Psychiatric/Mental Health)
8450 NW 102ND AVE
DORAL, FL 33178
Miami-Dade County (360) 643-6562

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 Williams's NPI number?

The NPI number for Stacy Williams is 1386243871. It was assigned to this individual provider in the NPPES registry on October 26, 2020. The provider is also known as Stacy Wideman Pmhnp-Bc.

Where is Stacy Williams located?

Stacy Williams practices at 8450 NW 102nd Ave, Doral, FL 33178. The listed phone number is (360) 643-6562.

What is Stacy Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacy Williams enrolled in Medicare?

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

Which organization bills Medicare for Stacy Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Williams reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, GA). 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 Stacy Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Williams accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 9 other insurers list Stacy Williams 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.

When was this NPI record last updated?

The NPPES record for Stacy Williams was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.