Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacie Michelle Wilson, AGNP-ACHPN

Individual provider Gerontology Nurse Practitioner · NPI 1902469075

Stacie Michelle Wilson, AGNP-ACHPN is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2018, 8 years ago. Practices with Mercy Clinic Palliative Care LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2019

Practice location Address checks out

621 S New Ballas Rd Ste 6017B
Saint Louis, MO 63141-8274
Phone: (314) 251-7840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2019006496 (MO)

Record details

NPI number1902469075
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-ACHPN
Sole proprietorNo
NPI enumeratedApril 15, 2019
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mercy Clinic Palliative Care Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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