Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stacey Ann Bradley, ACNPC-AG

Individual provider Nurse Practitioner · NPI 1174293872

MS. Stacey Ann Bradley, ACNPC-AG is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 2021, 5 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 667-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1509 Doctors Cir Bldg C, Wilmington, NC 28401-7403 — (910) 662-7500

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5015071 (NC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence BRAD-DDBS5 (NC)

Record details

NPI number1174293872
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedSeptember 15, 2021
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington