STACIE GURGANUS FOUTTY
NPI 1447130992
Nurse Practitioner in Wilmington, NC

Active since September 04, 2025PECOS EnrolledAccepts Medicare Assignment
8911 SHIPWATCH DR, WILMINGTON, NC 28412(252) 714-2509 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacie Gurganus Foutty NPPES

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

STACIE GURGANUS FOUTTY (NPI 1447130992) is an individual nurse practitioner in Wilmington, North Carolina, licensed in North Carolina (5023013) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1447130992
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACIE GURGANUS FOUTTY
Location Address8911 SHIPWATCH DRWilmington, NC 28412-3537
Mailing Address8911 Shipwatch DrWilmington, NC 28412-3537
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
NPI 1447130992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5023013
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.
8911 SHIPWATCH DR, Wilmington, NC 28412

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

Stacie Gurganus Foutty 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 ID1052800117
PECOS Enrollment IDI20251029001485
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.

Hospital Affiliations CMS Care Compare

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28412 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.

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 Stacie Foutty's NPI number?

The NPI number for Stacie Foutty is 1447130992. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Where is Stacie Foutty located?

Stacie Foutty practices at 8911 Shipwatch Dr, Wilmington, NC 28412. The listed phone number is (252) 714-2509.

What is Stacie Foutty's specialty?

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

Is Stacie Foutty enrolled in Medicare?

Yes. Stacie Foutty 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.

Is Stacie Foutty affiliated with any hospitals?

According to CMS data, Stacie Foutty is affiliated with Onslow Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stacie Foutty was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.