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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACEY MAE WANNER NP
NPI 1467330530
Nurse Practitioner in Eagan, MN

Active since August 26, 2025PECOS Enrolled
4033 MEADOWLARK CURV, EAGAN, MN 55122(734) 647-5299 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Stacey Mae Wanner Np NPPES

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

STACEY MAE WANNER NP (NPI 1467330530) is an individual nurse practitioner in Eagan, Minnesota, licensed in Minnesota (14602) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1467330530
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACEY MAE WANNERCredential: NP
Location Address4033 MEADOWLARK CURVEagan, MN 55122-1785
Mailing Address4033 Meadowlark CurvEagan, MN 55122-1785 · (734) 647-5299
Phone(734) 647-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 26, 2025
Last NPPES UpdateSeptember 21, 2026
NPPES CertifiedSeptember 21, 2026
✔ NPI 1467330530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 14602
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4033 MEADOWLARK CURV, Eagan, MN 55122
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Mae Wanner Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406340033
PECOS Enrollment IDI20251211000931
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 55122 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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 Stacey Wanner's NPI number?

The NPI number for Stacey Wanner is 1467330530. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Stacey Wanner located?

Stacey Wanner practices at 4033 Meadowlark Curv, Eagan, MN 55122. The listed phone number is (734) 647-5299.

What is Stacey Wanner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stacey Wanner enrolled in Medicare?

Yes. Stacey Wanner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Wanner was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.