STACIE KAYE WHEELER
NPI 1679910434
Occupational Therapist in Robbinsdale, MN

Active since June 03, 2013
3815 W BROADWAY AVE, ROBBINSDALE, MN 55422(612) 332-4262 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacie Kaye Wheeler NPPES

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

STACIE KAYE WHEELER (NPI 1679910434) is an individual occupational therapist in Robbinsdale, Minnesota, licensed in Minnesota (102230) and active in the NPI registry since June 2013. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1679910434
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSTACIE KAYE WHEELER
Location Address3815 W BROADWAY AVERobbinsdale, MN 55422-2207
Mailing Address6705 401st StNorth Branch, MN 55056-3312
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 3, 2013
✔ NPI 1679910434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MN · 102230
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3815 W BROADWAY AVE, Robbinsdale, MN 55422

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacie Kaye Wheeler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406212653
PECOS Enrollment IDI20260903001878

Medicare Billing Reassignment

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

Clinic/Center
21190 OZARK AVE N
Scandia, MN 55073
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1467560227 (Wisconsin)
  • 13 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.

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.

Physical Therapist
3815 W BROADWAY AVE
ROBBINSDALE, MN 55422
Occupational Therapist
3815 W BROADWAY AVE
ROBBINSDALE, MN 55422
Physical Therapy Assistant
3815 W BROADWAY AVE
ROBBINSDALE, MN 55422
Speech-Language Pathologist
3815 W BROADWAY AVE
ROBBINSDALE, MN 55422
Occupational Therapist
3815 W BROADWAY AVE
ROBBINSDALE, MN 55422
Occupational Therapy Assistant
3815 W BROADWAY AVE
ROBBINSDALE, MN 55422
Occupational Therapy Assistant
3815 W BROADWAY AVE
ROBBINSDALE, MN 55422
Occupational Therapy Assistant
3815 W BROADWAY AVE
ROBBINSDALE, MN 55422

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 Stacie Wheeler's NPI number?

The NPI number for Stacie Wheeler is 1679910434. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Stacie Wheeler located?

Stacie Wheeler practices at 3815 W Broadway Ave, Robbinsdale, MN 55422. The listed phone number is (612) 332-4262.

What is Stacie Wheeler's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Stacie Wheeler enrolled in Medicare?

Yes. Stacie Wheeler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacie Wheeler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Wheeler reassigns Medicare benefits to Ladd Memorial Hospital (Scandia, 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 Stacie Wheeler'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 Stacie Wheeler was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.