MS. STACEY GIDNER WUDYKA NP
NPI 1649778069
Nurse Practitioner - Family in Taylor, MI

Q: What is Stacey Wudyka's NPI number?

The NPI number for Stacey Wudyka is 1649778069. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Q: What is Stacey Wudyka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Wudyka was last updated on January 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 31, 2018PECOS EnrolledAccepts Medicare Assignment

11368 ALLEN RD, TAYLOR, MI 48180(734) 403-2222(734) 403-2400 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Stacey Gidner Wudyka Np NPPES

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

MS. STACEY GIDNER WUDYKA NP (NPI 1649778069) is an individual family provider in Taylor, Michigan, licensed in Michigan (4704202910) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649778069

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. STACEY GIDNER WUDYKACredential: NP

Location Address11368 ALLEN RDTaylor, MI 48180-4372

Mailing Address11368 Allen RdTaylor, MI 48180-4372 · (734) 403-2222 · Fax (734) 403-2400

Phone(734) 403-2222

Fax(734) 403-2400

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 31, 2018

✔ NPI 1649778069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704202910

11368 ALLEN RD, Taylor, MI 48180

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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 and accepts Medicare assignment

Ms. Stacey Gidner Wudyka Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779977186

PECOS Enrollment IDI20250814003304

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 48180 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEY LYNN SCHROEDER MSN, APRN, FNP-C

Nurse Practitioner (Family)