IndividualActive
Stacy Wilson
NPI 1396276747 · Specialist · Oceanside, NY
Stacy Wilson is a Specialist provider in Oceanside, NY (NPI 1396276747).
Provider details
- NPI number
- 1396276747
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
189 Lake St
Oceanside, NY 11572-4212
Phone: (516) 880-5247
Street-level locationGet directions
Mailing address
189 Lake St
Oceanside, NY 11572-4212
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2017-03-27
Frequently asked questions
- What is Stacy Wilson's NPI number?
- Stacy Wilson's National Provider Identifier (NPI) is 1396276747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Wilson's specialty?
- Stacy Wilson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Stacy Wilson located?
- Stacy Wilson's practice location on file with NPPES is 189 Lake St, Oceanside, NY 11572-4212.
- What is Stacy Wilson's phone number?
- The practice phone number listed in the NPPES registry for Stacy Wilson is (516) 880-5247.
- Is Stacy Wilson's NPI active?
- Yes — Stacy Wilson's NPI (1396276747) is active in the NPPES registry as of the last update on 2017-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.