STACEY A PNIEWSKI PA
NPI 1770710998
Physician Assistant - Medical in Grand Rapids, MI

Q: What is Stacey Pniewski's NPI number?

The NPI number for Stacey Pniewski is 1770710998. It was assigned to this individual provider in the NPPES registry on June 15, 2009.

Q: What is Stacey Pniewski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Pniewski was last updated on December 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2009PECOS EnrolledAccepts Medicare Assignment

1959 E PARIS AVE SE, GRAND RAPIDS, MI 49546(616) 808-2695(616) 808-2697 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Stacey A Pniewski Pa NPPES

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

STACEY A PNIEWSKI PA (NPI 1770710998) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601005529) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1770710998

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSTACEY A PNIEWSKICredential: PA

Location Address1959 E PARIS AVE SEGrand Rapids, MI 49546-6272

Mailing Address1959 E Paris Ave SeGrand Rapids, MI 49546-6272 · (616) 808-2695 · Fax (616) 808-2697

Phone(616) 808-2695

Fax(616) 808-2697

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 15, 2009

Last NPPES UpdateDecember 11, 2014

✔ NPI 1770710998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601005529

1959 E PARIS AVE SE, Grand Rapids, MI 49546

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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

Stacey A Pniewski Pa 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 ID2466503479

PECOS Enrollment IDI20090706000053

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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services16 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 16

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

MARIA LYNN KURLENDA

Nurse Practitioner (Family)