STACIE MICHELLE WILSON AGNP-ACHPN
NPI 1902469075
Nurse Practitioner - Gerontology in Saint Louis, MO

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
621 S NEW BALLAS RD STE 6017B, SAINT LOUIS, MO 63141(314) 251-7840 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2019, Apr 15, 2019 (2 updates tracked since 2019).

About Stacie Michelle Wilson Agnp-achpn NPPES

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

STACIE MICHELLE WILSON AGNP-ACHPN (NPI 1902469075) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2019006496) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902469075
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSTACIE MICHELLE WILSONCredential: AGNP-ACHPN
Location Address621 S NEW BALLAS RD STE 6017BSaint Louis, MO 63141-8274
Mailing Address621 S New Ballas Rd Ste 6017bSaint Louis, MO 63141-8274 · (314) 251-7840
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 15, 2019
Last NPPES UpdateFebruary 20, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
NPI 1902469075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MO · 2019006496
621 S NEW BALLAS RD STE 6017B, Saint Louis, MO 63141

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 and accepts Medicare assignment

Stacie Michelle Wilson Agnp-achpn 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 ID8022341775
PECOS Enrollment IDI20190611003652
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 7

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
161 services101 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
99 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
74 services69 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
57 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services26 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
24 services19 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers33 claims98 services$5.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers24 claims30 services$0.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
621 S NEW BALLAS RD STE 6017B
SAINT LOUIS, MO 63141
Internal Medicine (Hospice and Palliative Medicine)
621 S NEW BALLAS RD STE 6017B
SAINT LOUIS, MO 63141
Nurse Practitioner (Adult Health)
621 S NEW BALLAS RD STE 6017B
SAINT LOUIS, MO 63141
Internal Medicine
621 S NEW BALLAS RD STE 6017B
SAINT LOUIS, MO 63141
Social Worker (Clinical)
621 S NEW BALLAS RD STE 6017B
SAINT LOUIS, MO 63141
Internal Medicine (Hospice and Palliative Medicine)
621 S NEW BALLAS RD STE 6017B
SAINT LOUIS, MO 63141
Internal Medicine (Geriatric Medicine)
621 S NEW BALLAS RD STE 6017B
SAINT LOUIS, MO 63141
Family Medicine
621 S NEW BALLAS RD STE 6017B
SAINT LOUIS, MO 63141

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 Wilson's NPI number?

The NPI number for Stacie Wilson is 1902469075. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Stacie Wilson located?

Stacie Wilson practices at 621 S New Ballas Rd Ste 6017B, Saint Louis, MO 63141. The listed phone number is (314) 251-7840.

What is Stacie Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Stacie Wilson enrolled in Medicare?

Yes. Stacie Wilson 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.

What insurance does Stacie Wilson accept?

Health plans from Medica list Stacie Wilson 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.

Is Stacie Wilson affiliated with any hospitals?

According to CMS data, Stacie Wilson is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Stacie Wilson was last updated on February 20, 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.