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: August 09, 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
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

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

Medicare Participation & PECOS CMS

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

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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
8450 NW 102ND AVE
DORAL, FL 33178

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.

What insurance does Stacy Williams accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Highmark Blue Cross Blue Shield Delaware and 5 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 5 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.