Dr Stacy Wallin, DNP, APRN, NNP-BC - Medicare Nurse Practitioner in Minot, ND

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Dr Stacy Wallin, DNP, APRN, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal" in Minot, North Dakota. Her current practice location is 2305 37th Ave Sw, Minot, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 418-8000.

Dr Stacy Wallin is licensed to practice in North Dakota (license number R29613) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104225580.

Contact Information

Dr Stacy Wallin, DNP, APRN, NNP-BC
2305 37th Ave Sw,
Minot, ND 58701-7669
(701) 418-8000
Not Available

Map and Direction




Provider's Profile

Full NameDr Stacy Wallin
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location2305 37th Ave Sw, Minot, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104225580
  • Provider Enumeration Date: 08/21/2014
  • Last Update Date: 12/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941524458
  • Enrollment ID: I20150109001372

Medical Identifiers

Medical identifiers for Dr Stacy Wallin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104225580NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal R29613 (North Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Stacy Wallin allows following entities to bill medicare on her behalf.
Entity NameSt Alexius Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205868429
PECOS PAC ID: 8426960865
Enrollment ID: O20031104000146

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stacy Wallin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Stacy Wallin, DNP, APRN, NNP-BC
Po Box 5010,
Minot, ND 58702-5010

Ph: (701) 418-8000		Dr Stacy Wallin, DNP, APRN, NNP-BC
2305 37th Ave Sw,
Minot, ND 58701-7669

Ph: (701) 418-8000

Reviews and Comments


Nurse Practitioner Nurses in Minot, ND

Mrs. Pamela Lacey Leuschen, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2050 36th Ave Sw Ste 201, Minot, ND 58701
Phone: 701-852-8502    
Trisha J Fennern, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1021 20th Ave Sw Ste 113, Minot, ND 58701
Phone: 701-837-1551    Fax: 701-837-1540
Katelyn Jeanne Richter, APRN-FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2111 Landmark Cir Nw, Minot, ND 58703
Phone: 701-858-1800    
Hailey R Schiele, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1418 S Broadway Ste B, Minot, ND 58701
Phone: 701-852-9364    
Chantel K Hillestad, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 Burdick Expy E, Minot, ND 58701
Phone: 701-857-7382    Fax: 701-857-7071
Cathleen Hoffman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 Burdick Expy E, Minot, ND 58701
Phone: 701-857-5000    
Stacy Nicole Flaten, FNP- BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 407 3rd St Se, Minot, ND 58701
Phone: 701-857-2360    Fax: 701-857-2187

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.