Individual provider Active NPI

Stacey Michelle McRoberts, CNP

  • Critical Care Medicine Nurse Practitioner
  • Wilmington, OH
National Provider Identifier
1134744378
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
CNP0026850 Issued in OH
Practice address
630 W Main St Ste 209
Wilmington, OH 45177-2181
Phone
(937) 383-2700
NPI assigned
Jun 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X CNP0026850 OH Primary

Addresses

Primary practice location

630 W Main St Ste 209
Wilmington, OH 45177-2181

Mailing address

2325 Springmill Rd
Kettering, OH 45440-2503
Phone (937) 344-9594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630001753 OH Practitioner - Nurse Practitioner 7810319308 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surmeet Bedi MD LLCGroup PAC ID 3072767334, 2 clinicians
Ameriwound LLCGroup PAC ID 0345498853, 8 clinicians

Practice addresses (Care Compare)

630 W Main St
Suite 209
Wilmington, OH 45177-2181
Phone (937) 383-2700

6800 Gender Rd
Canal Winchester, OH 43110-8232
Phone (614) 834-6800

Hospital & facility affiliations

  • Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175
  • Highland District Hospital Hospital, Hillsboro, OH, CCN 361332

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP0026850OHMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surmeet Bedi MD LLC CurrentSince Dec 1, 2025 Accepting new patients
Mvhe, Inc CurrentSince Feb 17, 2021 Accepting new patients
Premier Health Specialists Inc Current Accepting new patients
Rajesh C Patel MD Inc CurrentSince Jul 1, 2022 Accepting new patients
Mvhe Inc Current Accepting new patients
Nephrology Associates of Dayton Inc CurrentSince Sep 1, 2021 Accepting new patients
Hospital Medicine Services of Ohio, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Premier Health Specialists Inc CurrentSince Aug 31, 2020 Accepting new patients
Premier Health Specialists Inc CurrentSince Aug 31, 2020 Accepting new patients
Wound Med LLC CurrentSince Dec 24, 2025 Accepting new patients
Mvhe Inc CurrentSince Feb 17, 2021 Accepting new patients
Rajesh C. Patel, M.D., Inc. CurrentSince Jul 1, 2022 Accepting new patients
Renal Physicians Inc Past Accepting new patients
RCHP-Wilmington, LLC Past Accepting new patients

Locations

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

7700 Washington Village Dr
Ste 213
Dayton, OH 45459
Phone (934) 312-6540

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

7231 Shull Rd
Dayton, OH 45424
Phone (937) 235-2757

7700 Washington Village Dr
Ste 230
Dayton, OH 45459
Phone (937) 438-0099

9001 N Main St
Ste A
Dayton, OH 45415
Phone (937) 832-0990

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

630 W Main St
Ste 209
Wilmington, OH 45177
Phone (937) 382-8500

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1134744378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 SPRINGMILL RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402503",
            "telephone_number": "937-344-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MAIN ST STE 209",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772181",
            "telephone_number": "937-383-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCROBERTS",
        "first_name": "STACEY",
        "middle_name": "MICHELLE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-13",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "OH",
            "license": "CNP0026850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.