DR. SUSAN STACKER
NPI 1306903786
Dentist - Periodontics in Wausau, WI

Q: What is Susan Stacker's NPI number?

The NPI number for Susan Stacker is 1306903786. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Q: What is Susan Stacker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Susan Stacker was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 03, 2007PECOS Enrolled

1220 N 6 STREET, WAUSAU, WI 54401(715) 845-7759(715) 845-4509 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Dr. Susan Stacker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN STACKER (NPI 1306903786) is an individual periodontics provider in Wausau, Wisconsin, licensed in Wisconsin (4828) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306903786

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. SUSAN STACKER

Location Address1220 N 6 STREETWausau, WI 54401-1220

Mailing Address1220 N 6 StreetWausau, WI 54403-1220 · (715) 845-7759 · Fax (715) 845-4509

Phone(715) 845-7759

Fax(715) 845-4509

Sole ProprietorNo

Enumeration DateJanuary 3, 2007

Last NPPES UpdateMarch 4, 2014

✔ NPI 1306903786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in WI · 4828✔ Licensed in IL · 4828

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1220 N 6 STREET, Wausau, WI 54401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Stacker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Stacker's NPI number?

The NPI number for Susan Stacker is 1306903786. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Susan Stacker located?

Susan Stacker practices at 1220 N 6 Street, Wausau, WI 54401. The listed phone number is (715) 845-7759.

What is Susan Stacker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Susan Stacker enrolled in Medicare?

Yes. Susan Stacker is registered in the Medicare PECOS enrollment system.

What insurance does Susan Stacker accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Companion Life Insurance Company and 6 other insurers list Susan Stacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Stacker was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.