Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACY PIRRUCCELLO OD
NPI 1780161539
Optometrist in Maple Grove, MN

Q: What is Stacy Pirruccello's NPI number?

The NPI number for Stacy Pirruccello is 1780161539. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Q: What is Stacy Pirruccello's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Pirruccello was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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 July 24, 2018PECOS Enrolled

13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369(763) 420-5112 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2022, Apr 7, 2020, Jul 24, 2018 (3 updates tracked since 2018).

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About Stacy Pirruccello Od NPPES

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

STACY PIRRUCCELLO OD (NPI 1780161539) is an individual optometrist in Maple Grove, Minnesota, licensed in Minnesota (3587) 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

NPI1780161539

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSTACY PIRRUCCELLOCredential: OD

Location Address13195 WEAVER LAKE RDMaple Grove, MN 55369-9410

Mailing Address13195 Weaver Lake RdMaple Grove, MN 55369-9410 · (763) 420-5112 · Fax (763) 420-6957

Phone(763) 420-5112

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 24, 2018

Last NPPES UpdateJune 22, 20263 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1780161539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MN · 3587

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

13195 WEAVER LAKE RD, Maple Grove, MN 55369

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Stacy Pirruccello Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446503114

PECOS Enrollment IDI20181025002260

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.

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.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 13

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

DR. KELLY CRENNA O.D.

Optometrist