STACY ADAIR WOODARD
NPI 1740776707
Nurse Practitioner - Family in Maple Grove, MN
About Stacy Adair Woodard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY ADAIR WOODARD (NPI 1740776707) is an individual family provider in Maple Grove, Minnesota, licensed in Minnesota (5939) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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 Adair Woodard 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 Woodard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
Webster City, IA 50595
- Reassigned Medicare billing, Iowa enrollment
Fargo, ND 58102
- Reassigned Medicare billing, North Dakota enrollment
- 2 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55369 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAPLE GROVE, MN 55369
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 Woodard's NPI number?
The NPI number for Stacy Woodard is 1740776707. It was assigned to this individual provider in the NPPES registry on July 2, 2018.
Where is Stacy Woodard located?
Stacy Woodard practices at 6469 Sycamore Ct N, Maple Grove, MN 55369. The listed phone number is (763) 276-9443.
What is Stacy Woodard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy Woodard enrolled in Medicare?
Yes. Stacy Woodard 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 Woodard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Woodard reassigns Medicare benefits to 3 organizations: Lifeway Health & Wellness LLC (Maple Grove, MN), Rvision Health Of Iowa P.C. (Webster City, IA) and Rvision Health Of North Dakota PC (Fargo, ND). 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 Woodard'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 Stacy Woodard was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Stacy Adair Woodard · NPI 1740776707
Family physician in Maple Grove, Minnesota. Individual provider, active in the CMS NPPES registry since July 2, 2018.
## Identity
- **NPI:** 1740776707 (Entity type: Individual)
- **Enumerated:** July 2, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5939 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6469 SYCAMORE CT N, Maple Grove, MN 55369-6028
- **Phone:** (763) 276-9443
## 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): Lifeway Health & Wellness LLC (NPI 1598443723, Maple Grove, MN); Rvision Health Of Iowa P.C. (NPI 1740984418, Webster City, IA); Rvision Health Of North Dakota PC (NPI 1033845243, Fargo, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1740776707) · Data from the CMS NPPES public registry.