STACEY A WILSON OT
NPI 1932890803
Occupational Therapist in Bloomington, IN

Active since May 19, 2023
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401(812) 333-2663 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 18, 2023, May 19, 2023 (2 updates tracked since 2023).

About Stacey A Wilson Ot NPPES

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

STACEY A WILSON OT (NPI 1932890803) is an individual occupational therapist in Bloomington, Indiana, licensed in Indiana (31004123A) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1932890803
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSTACEY A WILSONCredential: OT
Location Address2605 E CREEKS EDGE DRBloomington, IN 47401-8368
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Enumeration DateMay 19, 2023
Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1932890803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in IN · 31004123A
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Also ListedOccupational Therapist · HandTaxonomy 225XH1200X · License 31004123A (IN)
2605 E CREEKS EDGE DR, Bloomington, IN 47401

Other Identifiers 2

Other090540881IN · Medicare Ptan
Medicaid300081337IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey A Wilson Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group

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

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.

Physician Assistant
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physician Assistant
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Orthopaedic Surgery
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physician Assistant (Surgical)
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Specialist/Technologist (Athletic Trainer)
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Family Medicine
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401

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 Stacey Wilson's NPI number?

The NPI number for Stacey Wilson is 1932890803. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Stacey Wilson located?

Stacey Wilson practices at 2605 E Creeks Edge Dr, Bloomington, IN 47401. The listed phone number is (812) 333-2663.

What is Stacey Wilson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Stacey Wilson enrolled in Medicare?

Yes. Stacey Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Wilson reassigns Medicare benefits to Iu Health Medical Group, LLC (Indianapolis, IN). 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 Stacey Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare list Stacey 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.

When was this NPI record last updated?

The NPPES record for Stacey Wilson was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.