DR. DAWN MARIE STAVISH DDS
NPI 1528063955
Dentist in Mankato, MN
About Dr. Dawn Marie Stavish Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAWN MARIE STAVISH DDS (NPI 1528063955) is an individual dentist in Mankato, Minnesota, licensed in Minnesota (D13185) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mankato.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Dawn Marie Stavish Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dawn Stavish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mankato, MN 56001
- Reassigned Medicare billing, Minnesota enrollment
- 1,572 clinicians in this Medicare group
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 56001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANKATO, MN 56001
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 Dawn Stavish's NPI number?
The NPI number for Dawn Stavish is 1528063955. It was assigned to this individual provider in the NPPES registry on June 13, 2005.
Where is Dawn Stavish located?
Dawn Stavish practices at 309 Holly Ln, Mankato, MN 56001. The listed phone number is (507) 388-2120.
What is Dawn Stavish's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Dawn Stavish enrolled in Medicare?
Yes. Dawn Stavish is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dawn Stavish's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Stavish reassigns Medicare benefits to Mayo Clinic Health System-Southwest Minnesota Region (Mankato, MN). 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 Dawn Stavish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dawn Stavish accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 2 other insurers list Dawn Stavish 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 Dawn Stavish was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Dawn Marie Stavish, DDS · NPI 1528063955
Dentist provider in Mankato, Minnesota. Individual provider, active in the CMS NPPES registry since June 13, 2005.
## Identity
- **NPI:** 1528063955 (Entity type: Individual)
- **Enumerated:** June 13, 2005
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** D13185 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 309 HOLLY LN, Mankato, MN 56001-5422
- **Phone:** (507) 388-2120
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Mayo Clinic Health System-Southwest Minnesota Region (NPI 1578545422, Mankato, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1528063955) · Data from the CMS NPPES public registry.