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

Stacy Wyatt

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861222143

Stacy Wyatt is a Nurse Practitioner in Houston, Texas. Qualified in 2023, 3 years ago. Practices with Winnie Community Hospital LLC, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

4801 Woodway Dr Ste 306W
Houston, TX 77056-1828
Phone: (832) 225-3345
Fax: (713) 583-1504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1158846 (TX)

Record details

NPI number1861222143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Winnie Community Hospital Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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