Stacy Nicole Wheeler, APRN-CNP
Individual provider Active NPI Family Nurse Practitioner · New Concord, OH
NPI 1508645151 · NPPES record last updated Sep 25, 2023
Key facts
- NPI
- 1508645151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0034943 (OH)
- Practice address
- 12345 McKinley Dr
New Concord, OH 43762-9759 - Phone
- (614) 743-4913
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesis Primary Care Physicians, LLC
Practice addresses (Care Compare)
1 E Main St
Suite 200a
New Concord, OH 43762-1246
Phone (740) 826-7050
Hospital & facility affiliations
- Genesis Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240816001600 | OH | Practitioner - Nurse Practitioner | 7214475631 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0034943 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Primary Care Physicians LLC | Current |
Accepting new patients | |
| Genesis Medical Group LLC | Past |
Accepting new patients |
Locations
23599 Airport Rd
Ste A
Coshocton, OH 43812
Phone (740) 722-9510
1 E Main St
Ste 200A
New Concord, OH 43762
Phone (740) 826-7050
2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000
1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0034943 | OH | Yes |
Addresses
Primary practice location
12345 McKinley Dr
New Concord, OH 43762-9759
Mailing address
12345 McKinley Dr
New Concord, OH 43762-9759
Phone (614) 743-4913
Other providers in New Concord, OH
- Maureen Margaret Schichtel
- Steven B Wootton DC LLC
- Vision First LLC
- Karen Sue Wesney
- Devin Wheeler
- Tamara Ann Wilden
- William H. Overholser, M.D., Inc.
- Rebekah Winsley
- Wootton Chiropractic, Inc.
- Steven B. Wootton
All providers in New Concord, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.