| Stacy Wahl Slettum, FNP | |
|
1216 Ryans Rd Ste 3, Worthington, MN 56187-1781 | |
| (507) 375-6522 | |
| (507) 372-6573 |
| Full Name | Stacy Wahl Slettum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 1216 Ryans Rd Ste 3, Worthington, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942202403 | NPI | - | NPPES |
| 118293500 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2193 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Murray County Memorial Hospital | Slayton, MN | Hospital |
| Sanford Medical Center Worthington | Worthington, MN | Hospital |
| Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
| Pipestone County Medical Center | Pipestone, MN | Hospital |
| Maple Lawn Senior Care | Fulda, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Mckennan | 0345157103 | 927 |
| Rural Health Care Inc | 3476447541 | 135 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093262131 PECOS PAC ID: 0345157103 Enrollment ID: O20040109001102 |
| Entity Name | Rural Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215317375 PECOS PAC ID: 3476447541 Enrollment ID: O20150710000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Wahl Slettum, FNP 1216 Ryans Rd Ste 3, Worthington, MN 56187-1781 Ph: (507) 375-6522 | Stacy Wahl Slettum, FNP 1216 Ryans Rd Ste 3, Worthington, MN 56187-1781 Ph: (507) 375-6522 |
Alexis Grace Burket, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1216 Ryans Rd Ste 3, Worthington, MN 56187 Phone: 507-372-2921 | |
Rachael R Dekker, CNP, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 6th Ave, Worthington, MN 56187 Phone: 605-321-3069 | |
Laura J Fodness, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1216 Ryans Rd, Worthington, MN 56187 Phone: 507-372-2921 | |
Kristine Ranae Shaffer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1680 Diagonal Rd, Worthington, MN 56187 Phone: 507-372-3800 | |
Stacey Jo Jumbeck, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1680 Diagonal Rd, Worthington, MN 56187 Phone: 507-372-3800 Fax: 507-372-3806 | |
Greta Marie Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1216 Ryans Rd, Worthington, MN 56187 Phone: 507-372-2921 Fax: 507-372-5789 | |
Mary Elizabeth Arntz, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1216 Ryans Rd, Worthington, MN 56187 Phone: 507-372-2921 |