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Active NPI 1669176046 Individual Practitioner Female Practitioner

Stacy M Wiley , NURSE PRACTITIONER

Nurse Practitioner • Bridgeton, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Stacy Wiley, NURSE PRACTITIONER is a certified Nurse Practitioner practicing in Bridgeton, MO. With approximately 5 years of clinical experience since completing medical education in 2021, Stacy Wiley delivers high-quality medical care to the local community at 12277 DE PAUL DR STE 403.

Stacy Wiley is affiliated with Ssm Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12277 De Paul Dr Ste 403

Bridgeton, MO 630442536

Telephone 3147382715
Associated Practice Facility / Clinic
🏢 Ssm Medical Group, Inc. Facility NPI 1194736116

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bridgeton, MO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -9.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Bridgeton, MO (1750 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wiley (5 Years) 5 Yrs
Bridgeton Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
212 149 $237.39 $78.48
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
80 57 $119.75 $27.93
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
39 39 $42.00 $13.45
99213 Established patient office or other outpatient visit, typically 15 minutes
17 15 $110.00 $53.57

Medical Specialties & State Licenses

CMS Verified: 2023-10-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2022044057

(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.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License MO 2022044057

Definition to come...

Hospital & Practice Group Affiliations

Ssm Medical Group Inc

12277 De Paul Dr, Bridgeton, MO 630442536

Phone: 3147382715

Secondary Practice Locations

3933 S Broadway

Saint Louis, MO 631184696

Phone: 3148657924

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Suresh Chode , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1336378934

Doctor of Medicine (M.D.)

Dr. Christy Richardson , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1548241284

Doctor of Medicine (M.D.)

Laura Elliott , FNP-C

Nurse Practitioner - Family

NPI 1598193187

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 27, 2023

Registered at 12277 DE PAUL DR STE 403, BRIDGETON, MO 630442536 (Tel: 3147382715)

📍
Updated Business Mailing Address October 27, 2023

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

NPI Profile Active March 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2023

Registered at 3933 S BROADWAY, SAINT LOUIS, MO 631184696 (Tel: 3148657924)

📍
Updated Business Mailing Address March 29, 2023

Registered at 8206 AUDRAIN DR, SAINT LOUIS, MO 631214504 (Tel: 3145034908)

👤
Provider Name / Credentials Updated March 29, 2023

Recorded as STACY WILEY, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2023

Nurse Practitioner (License #2022044057 in MO)

🟢
Initial NPI Registration & Enumeration March 29, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669176046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2023
Last Update: October 27, 2023
Sole Proprietor: No

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.