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NICOLE STACY
NPI 1457043077
Nurse Practitioner - Acute Care in Ypsilanti, MI

Active since May 23, 2023PECOS Enrolled
IHA HOSPITAL MEDICINE SERVICES, 5301 MCAULEY DRIVE, YPSILANTI, MI 48197(734) 712-8676(517) 205-5968 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2026, Nov 6, 2023, May 23, 2023 (3 updates tracked since 2023).

About Nicole Stacy NPPES

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

NICOLE STACY (NPI 1457043077) is an individual acute care provider in Ypsilanti, Michigan, licensed in Michigan (4704346507) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457043077
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE STACY
Location AddressIHA HOSPITAL MEDICINE SERVICES, 5301 MCAULEY DRIVEYpsilanti, MI 48197
Mailing Address24 Frank Lloyd Wright Drive, J2000Ann Arbor, MI 48105 · (517) 205-4750 · Fax (517) 205-5968
Phone(734) 712-8676
Fax(517) 205-5968
Sole ProprietorNo
Enumeration DateMay 23, 2023
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1457043077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704346507
IHA HOSPITAL MEDICINE SERVICES, Ypsilanti, MI 48197
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Nicole Stacy 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 Reassignments

2

Medicare enrollment records show Nicole Stacy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iha Health Services Corporation
0.9 mi
Surgical Critical Care
5301 E. HURON RIVER DR.
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 1,480 clinicians in this Medicare group
NPI 1235659574 (734) 712-7017
W.A. Foote Memorial Hospital
30 mi
Physician Assistant
205 N. EAST AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 225 clinicians in this Medicare group
NPI 1235676180 (517) 841-7843

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 48197 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

KORY ASHTON STRONG DO
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. NAFIS MOSTAK AHMED DO
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DAMANSHER SINGH SIDHU DO
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DIANA PAEZ PA-C
Physician Assistant
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. VIGNESHGOVIND SURIYAPRAKASH MD
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. SHAILESH SIMKHADA MD
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. CHRISTINA REJI MD
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. OMER JAMEEL NAJEM MD
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676

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 Nicole Stacy's NPI number?

The NPI number for Nicole Stacy is 1457043077. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Nicole Stacy located?

Nicole Stacy practices at Iha Hospital Medicine Services 5301 Mcauley Drive, Ypsilanti, MI 48197. The listed phone number is (734) 712-8676.

What is Nicole Stacy's specialty?

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

Is Nicole Stacy enrolled in Medicare?

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

Which organizations bill Medicare for Nicole Stacy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Stacy reassigns Medicare benefits to 2 organizations: Iha Health Services Corporation (Ypsilanti, MI) and W.A. Foote Memorial Hospital (Jackson, MI). Each 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 Nicole Stacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Stacy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Nicole Stacy 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 Nicole Stacy was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.