STACIE MARIE WELLMAN M.D.
NPI 1669793410
Family Medicine in Hettinger, ND

Q: What is Stacie Wellman's NPI number?

The NPI number for Stacie Wellman is 1669793410. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Q: What is Stacie Wellman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacie Wellman was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 16, 2010PECOS EnrolledAccepts Medicare Assignment

1000 HIGHWAY 12, HETTINGER, ND 58639(701) 567-4561 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacie Marie Wellman M.d. NPPES

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

STACIE MARIE WELLMAN M.D. (NPI 1669793410) is an individual family medicine provider in Hettinger, North Dakota, licensed in North Dakota (19227) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Southwest Healthcare Services, and is a graduate of University Of North Dakota School Of Medicine (2010).

NPPES Registry Identity

NPI1669793410

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTACIE MARIE WELLMANCredential: M.D.

Location Address1000 HIGHWAY 12Hettinger, ND 58639-7530

Mailing Address1000 Highway 12Hettinger, ND 58639-7530 · (701) 567-4561

Phone(701) 567-4561

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2010

Enumeration DateJune 16, 2010

Last NPPES UpdateMarch 6, 2023

NPPES CertifiedMarch 6, 2023

✔ NPI 1669793410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ND · 19227✔ Licensed in SD · 8897✔ Licensed in ND · 12893✔ Licensed in SD · 14041✔ Licensed in MT · 68454

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1000 HIGHWAY 12, Hettinger, ND 58639

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, Medica and more.Insurance ›

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

Stacie Marie Wellman M.d. 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 ID9436304987

PECOS Enrollment IDI20130820000715, I20190114003266

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southwest Healthcare Services

Critical Access Hospitals · Bowman, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351313

Location802 2nd St NWBowman, ND 58623 · Bowman County

Emergency services

West River Regional Medical Center

Critical Access Hospitals · Hettinger, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351330

Location1000 Highway 12Hettinger, ND 58639 · Adams County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58639 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers26 claims60 services$6.16 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers15 claims15 services$1.07 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers20 claims20 services$38.36 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers12 claims12 services$88.70 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers16 claims32 services$35.08 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

2 suppliers11 claims20 services$13.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CATHERINE E SHIREK MD

Family Medicine