Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stacy M Wiley , NURSE PRACTITIONER

Nurse Practitioner โ€ข Bridgeton, MO

Active NPI 1669176046 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

12277 De Paul Dr Ste 403
Bridgeton, MO 630442536

Call 3147382715 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12277 De Paul Dr Ste 403

Bridgeton, MO 630442536

Telephone 3147382715
Organization at the Same NPPES Address or Phone
Ssm Medical Group Inc. Facility NPI 1043518350

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saint Louis, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Ssm Medical Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Medicare patients

163 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $20,307 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $14,995 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

9,567 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,914,776 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $974.32 across 38 records.

By nature of payment

  • Food and Beverage: $974.32 across 38 records.

Reporting-company totals (3 largest of 16)

  • Medtronic, Inc.: $197.87 across 2 records.
  • Novo Nordisk Inc: $172.13 across 9 records.
  • Corcept Therapeutics: $89.84 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Stacy Wiley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Stacy Wiley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bridgeton and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Bridgeton, MO (2024, 16 clinicians with data). Median for this group: 182. Middle half: 130 to 337.

More Medicare Part B services than 60% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: 231. Middle half: 88 to 493.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Nurse Practitioner in Bridgeton, MO (2024, 16 clinicians with data). Median for this group: $18,030. Middle half: $10,529 to $23,686.

Close to the middle for clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $17,615. Middle half: $6,020 to $35,542.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Nurse Practitioner in Bridgeton, MO (2024, 16 clinicians with data). Median for this group: $13,673. Middle half: $7,915 to $17,957.

Close to the middle for clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $12,817. Middle half: $4,412 to $26,824.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Bridgeton, MO (2024, 14 clinicians with data). Median for this group: 253. Middle half: 95 to 1,107.

More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: 303. Middle half: 86 to 1,191.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Bridgeton, MO (2024, 14 clinicians with data). Median for this group: $28,890. Middle half: $2,807 to $103,546.

A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: $13,920. Middle half: $1,057 to $134,310.

22 active clinicians are listed under Nurse Practitioner with a practice address in Bridgeton, MO (1,721 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bridgeton

18.2% of these 22 clinicians have the CMS telehealth indicator.

86.4% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 38 records totaling $974.32.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
MINIMED 780G General $132.20
Medtronic, Inc.
Food and Beverage
In-kind items and services
MINIMED 780G General $65.67
Corcept Therapeutics
Food and Beverage
In-kind items and services
Korlym General $34.18
RECORDATI_RARE_DISEASES_INC.
Food and Beverage
In-kind items and services
ISTURISA General $33.71
Corcept Therapeutics
Food and Beverage
In-kind items and services
Korlym General $29.88
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $28.59
Radius Health, Inc.
Food and Beverage
In-kind items and services
Tymlos General $28.10
Ascensia Diabetes Care Us Inc.
Food and Beverage
In-kind items and services
โ€” General $26.53
Corcept Therapeutics
Food and Beverage
In-kind items and services
Korlym General $25.78
Sequel Med Tech, LLC
Food and Beverage
In-kind items and services
TWIIST General $25.74
Eli Lilly and Company
Food and Beverage
In-kind items and services
โ€” General $25.50
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $24.98
Amgen Inc.
Food and Beverage
In-kind items and services
EVENITY General $24.08
Dexcom, Inc.
Food and Beverage
In-kind items and services
Dexcom G6 Transmitter General $24.05
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $24.04
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $23.42
Tandem Diabetes Care, Inc.
Food and Beverage
In-kind items and services
t:slim X2 Insulin Pump with Control-IQ General $23.06
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $22.92
Amneal Pharmaceuticals LLC
Food and Beverage
In-kind items and services
UNITHROID General $22.21
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $21.85
Xeris Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
RECORLEV General $20.64
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $20.35
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE 3 General $20.18
Tandem Diabetes Care, Inc.
Food and Beverage
In-kind items and services
t:slim X2 Insulin Pump with Control-IQ General $20.17
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $19.93

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
212 149 $237.39 $78.48
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
80 57 $119.75 $27.93
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
39 39 $42.00 $13.45
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
17 15 $110.00 $53.57

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ozempic Semaglutide 439 19,407 $633,790.30 127
Metformin Hcl Er Metformin Hcl 291 23,305 $2,900.01 115
Levothyroxine Sodium Levothyroxine Sodium 268 22,732 $3,344.01 115
Atorvastatin Calcium Atorvastatin Calcium 237 20,009 $2,360.82 99
Glimepiride Glimepiride 158 12,542 $1,474.88 71
Mounjaro Tirzepatide 137 4,564 $171,193.84 29
Rosuvastatin Calcium Rosuvastatin Calcium 128 11,184 $1,859.40 53
Trulicity Dulaglutide 114 5,603 $186,884.53 35
Tresiba Flextouch U-100 Insulin Degludec 104 6,785 $60,702.26 45
Nano 2nd Gen Pen Needle Pen Needle, Diabetic 104 6,548 $10,130.58 48
Farxiga Dapagliflozin Propanediol 103 5,970 $109,119.47 28
Metformin Hcl Metformin Hcl 99 8,133 $957.76 43
Losartan Potassium Losartan Potassium 89 7,103 $1,043.40 35
Tresiba Flextouch U-200 Insulin Degludec 81 3,779 $69,327.81 25
Gabapentin Gabapentin 73 4,948 $1,554.88 31
Synthroid Levothyroxine Sodium 72 5,904 $5,707.33 27
Amlodipine Besylate Amlodipine Besylate 66 5,820 $426.04 26
Toujeo Max Solostar Insulin Glargine,hum.Rec.Anlog 65 3,445 $78,522.03 20
Lisinopril Lisinopril 64 5,671 $291.42 28
Jardiance Empagliflozin 64 4,380 $82,864.93 27
Lantus Solostar Insulin Glargine,hum.Rec.Anlog 63 4,263 $9,677.02 26
Pioglitazone Hcl Pioglitazone Hcl 63 5,040 $730.86 24
Synjardy Xr Empagliflozin/Metformin Hcl 54 4,230 $78,326.74 23
Fiasp Flextouch Insulin Aspart (Niacinamide) 54 2,719 $44,415.47 25
Toujeo Solostar Insulin Glargine,hum.Rec.Anlog 53 3,623 $36,722.14 20

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MO 2022044057

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

License # reported to NPPES MO 2022044057
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230926002074

Enrollment State Jurisdiction

MO

PECOS Control ID

7719331677

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ssm Medical Group Inc

12277 De Paul Dr, Bridgeton, MO 630442536

Phone: 3147382715

Secondary Practice Locations

3933 S Broadway

Saint Louis, MO 631184696

Phone: 3148657924

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Suresh Chode , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1336378934

Doctor of Medicine (M.D.)

Laura Elliott , FNP-C

Nurse Practitioner - Family

NPI 1598193187

Family Nurse Practitioner (Certified)

Dr. Christy Richardson , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1548241284

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location October 27, 2023

Registered at 12277 DE PAUL DR STE 403, BRIDGETON, MO 630442536 (Tel: 3147382715)

๐Ÿ“
Updated Business Mailing Address October 27, 2023

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

โœ…
NPI Profile Active March 29, 2023

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 29, 2023

Registered at 3933 S BROADWAY, SAINT LOUIS, MO 631184696 (Tel: 3148657924)

๐Ÿ“
Business Mailing Address (Initial Record) March 29, 2023

Registered at 8206 AUDRAIN DR, SAINT LOUIS, MO 631214504 (Tel: 3145034908)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 29, 2023

Recorded as STACY WILEY, NURSE PRACTITIONER

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2023

Nurse Practitioner (license number reported to NPPES: MO 2022044057)

๐ŸŸข
Initial NPI Registration & Enumeration March 29, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669176046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2023
Last Update: October 27, 2023
Sole Proprietor: No

Other Nurse Practitioners in Bridgeton

All Nurse Practitioners in Bridgeton

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.