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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: October 18, 2026.

Record update history: Sep 21, 2026, Nov 6, 2025 (2 updates tracked since 2025).

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, 20262 updates tracked since enumeration
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Stacey Wanner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of Michigan
496 mi
Nurse Practitioner
8001 CHALLIS RD
Brighton, MI 48116
  • Reassigned Medicare billing, Michigan enrollment
  • 507 clinicians in this Medicare group
NPI 1225053895 (810) 227-9510

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Stacey Wanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Wanner reassigns Medicare benefits to Regents Of The University Of Michigan (Brighton, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Wanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Wanner accept?

Health plans from Priority Health list Stacey Wanner 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 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 30 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.