Stacey Wilson, CNM
NPI 1629102272 · Obstetrics & Gynecology Nurse Practitioner · Beaverton, OR
Enrolled with Medicare as Practitioner - Certified Nurse Midwife (cnm) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacey Wilson, CNM is a Obstetrics & Gynecology Nurse Practitioner provider in Beaverton, OR (NPI 1629102272).
Provider details
- NPI number
- 1629102272
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- OR 200050017NP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2008-04-29
Frequently asked questions
- What is Stacey Wilson's NPI number?
- Stacey Wilson's National Provider Identifier (NPI) is 1629102272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Wilson's specialty?
- Stacey Wilson is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacey Wilson located?
- Stacey Wilson's practice location on file with NPPES is 4855 Sw Western Ave, Beaverton, OR 97005-3460.
- What is Stacey Wilson's phone number?
- The practice phone number listed in the NPPES registry for Stacey Wilson is (503) 626-5515.
- Does Stacey Wilson accept Medicare?
- Stacey Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacey Wilson's NPI active?
- Yes — Stacey Wilson's NPI (1629102272) is active in the NPPES registry as of the last update on 2008-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.