STACEY A WILSON OT
NPI 1932890803
Occupational Therapist in Bloomington, IN
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
Specialties & Licenses 2
Other Identifiers 2
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.
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.
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.