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

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: October 25, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Stacey Wudyka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monogram Health Professional Services Of Texas PLLC
468 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Texas enrollment
  • 91 clinicians in this Medicare group
NPI 1396481255 (615) 465-8684
Monogram Health Professional Services PC
468 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Arizona, Georgia, Michigan and Pennsylvania enrollments
  • Also billed through NPI 1255930228 (Georgia), NPI 1134739089 (Pennsylvania)
  • 67 clinicians in this Medicare group
NPI 1952917122 (615) 465-8684
Monogram Health Professional Services Of Florida LLC
831 mi
Nephrology
4720 SALISBURY RD
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 98 clinicians in this Medicare group
NPI 1538883111 (615) 673-4455

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 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.

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)
11368 ALLEN RD
TAYLOR, MI 48180
Wayne County (734) 403-2222
ALLAN L KALMUS
Podiatrist
11368 ALLEN RD
TAYLOR, MI 48180
Wayne County (734) 287-2500
MICHIGAN CENTER FOR NEUROPSYCHOLOGY
Clinical Neuropsychologist
11368 ALLEN RD
TAYLOR, MI 48180
Wayne County (313) 283-6056
ALLENWOOD FAMILY HEALTH CARE, PC
Family Medicine
11368 ALLEN RD
TAYLOR, MI 48180
Wayne County (734) 403-2222
AMY GOTTSCHALK
Nurse Practitioner (Family)
11368 ALLEN RD
TAYLOR, MI 48180
Wayne County (734) 403-2222
DR. TERRY MICHAEL HAHN D.O
Neuromusculoskeletal Medicine & OMM
11368 ALLEN RD
TAYLOR, MI 48180
Wayne County (734) 403-2222
ALLENWOOD FAMILY HEALTH CARE II PLLC
Internal Medicine
11368 ALLEN RD
TAYLOR, MI 48180
Wayne County (734) 403-2222
MARICELA HERMAN NP-C
Nurse Practitioner (Family)
11368 ALLEN RD
TAYLOR, MI 48180
Wayne County (734) 403-2222

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 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.

Where is Stacey Wudyka located?

Stacey Wudyka practices at 11368 Allen Rd, Taylor, MI 48180. The listed phone number is (734) 403-2222.

What is Stacey Wudyka's specialty?

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

Is Stacey Wudyka enrolled in Medicare?

Yes. Stacey Wudyka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stacey Wudyka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Wudyka reassigns Medicare benefits to 3 organizations: Monogram Health Professional Services Of Texas PLLC (Brentwood, TN), Monogram Health Professional Services PC (Brentwood, TN) and Monogram Health Professional Services Of Florida LLC (Jacksonville, FL). Each 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 Wudyka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.