STACY WACHHOLTZ
NPI 1710605118
Nurse Practitioner - Family in Sioux Falls, SD

Q: What is Stacy Wachholtz's NPI number?

The NPI number for Stacy Wachholtz is 1710605118. It was assigned to this individual provider in the NPPES registry on August 22, 2022. The provider is also known as Stacy Hecht.

Q: What is Stacy Wachholtz'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 Stacy Wachholtz was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 August 22, 2022PECOS EnrolledAccepts Medicare Assignment

1500 W 22ND ST STE 301, SIOUX FALLS, SD 57105(605) 328-7700 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2026, Aug 22, 2022 (2 updates tracked since 2022).

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About Stacy Wachholtz NPPES

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

STACY WACHHOLTZ (NPI 1710605118) is an individual family provider in Sioux Falls, South Dakota, licensed in Nebraska (114358) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Pioneer Memorial Hospital - Cah, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710605118

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACY WACHHOLTZ

Location Address1500 W 22ND ST STE 301Sioux Falls, SD 57105-1503

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-7700

Phone(605) 328-7700

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 22, 2022

Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1710605118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in NE · 114358

Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License CP002673 (SD)

1500 W 22ND ST STE 301, Sioux Falls, SD 57105

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Other Names 1

Former Name (1)Stacy Hecht

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company 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

Stacy Wachholtz 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 ID1850767104

PECOS Enrollment IDI20221012000914, I20230225000200

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

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

Pioneer Memorial Hospital - Cah

Critical Access Hospitals · Viborg, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431328

Location315 N Washington Ave Post Office Box 368Viborg, SD 57070 · Turner County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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 20

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

ELIZABETH MILLER M.D.

Obstetrics & Gynecology