STACY WACHHOLTZ
NPI 1710605118
Nurse Practitioner - Family in Sioux Falls, SD
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 Sanford Usd Medical Center, and maintains a secondary practice location in Omaha.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Stacy Wachholtz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 clinicians in this Medicare group
Viborg, SD 57070
- Reassigned Medicare billing, South Dakota enrollment
- 16 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDPioneer Memorial Hospital - Cah
Critical Access Hospitals · Viborg, SDPhysician 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.
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.
SIOUX FALLS, SD 57105
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 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.
Where is Stacy Wachholtz located?
Stacy Wachholtz practices at 1500 W 22nd St Ste 301, Sioux Falls, SD 57105. The listed phone number is (605) 328-7700.
What is Stacy Wachholtz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy Wachholtz enrolled in Medicare?
Yes. Stacy Wachholtz 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 Stacy Wachholtz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Wachholtz reassigns Medicare benefits to 3 organizations: Sanford Clinic (Sioux Falls, SD), Sanford Medical Center (Sioux Falls, SD) and Pioneer Memorial Hospital & Health Services (Viborg, SD). 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 Stacy Wachholtz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Wachholtz accept?
Health plans from Avera Health Plans, Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Stacy Wachholtz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Stacy Wachholtz affiliated with any hospitals?
According to CMS data, Stacy Wachholtz is affiliated with Sanford Usd Medical Center and Pioneer Memorial Hospital - Cah.
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 9 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.
# Stacy Wachholtz · NPI 1710605118
Family physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since August 22, 2022.
## Identity
- **NPI:** 1710605118 (Entity type: Individual)
- **Enumerated:** August 22, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 114358 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 W 22ND ST STE 301, Sioux Falls, SD 57105-1503
- **Phone:** (605) 328-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sanford Clinic (NPI 1083645949, Sioux Falls, SD); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD); Pioneer Memorial Hospital & Health Services (NPI 1598713281, Viborg, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710605118) · Data from the CMS NPPES public registry.