Stacy Nicole
NPI 1891516167 · Nurse Practitioner · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacy Nicole is a Nurse Practitioner provider in Fort Wayne, IN (NPI 1891516167).
Provider details
- NPI number
- 1891516167
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 28147485A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-10-21
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Frequently asked questions
- What is Stacy Nicole's NPI number?
- Stacy Nicole's National Provider Identifier (NPI) is 1891516167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Nicole's specialty?
- Stacy Nicole is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacy Nicole located?
- Stacy Nicole's practice location on file with NPPES is 3909 New Vision Dr, Fort Wayne, IN 46845-1725.
- What is Stacy Nicole's phone number?
- The practice phone number listed in the NPPES registry for Stacy Nicole is (260) 469-6610.
- Does Stacy Nicole accept Medicare?
- Stacy Nicole is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacy Nicole's NPI active?
- Yes — Stacy Nicole's NPI (1891516167) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.