STACEY WASEM APRN
NPI 1831724640
Nurse Practitioner - Gerontology in Canton, OH

Q: What is Stacey Wasem's NPI number?

The NPI number for Stacey Wasem is 1831724640. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Q: What is Stacey Wasem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Wasem was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 March 12, 2020PECOS EnrolledAccepts Medicare Assignment

88.51/100

CMS Quality Rating

236 3RD ST SW, CANTON, OH 44702(330) 754-4431(330) 244-8839 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2025, Oct 25, 2023, Jul 21, 2021 and 1 more (4 updates tracked since 2020).

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About Stacey Wasem Aprn NPPES

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

STACEY WASEM APRN (NPI 1831724640) is an individual gerontology provider in Canton, Ohio, licensed in Ohio (APRN.CNP.026483) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1831724640

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSTACEY WASEMCredential: APRN

Location Address236 3RD ST SWCanton, OH 44702-1607

Mailing Address236 3rd St SwCanton, OH 44702-1607 · (330) 754-4431 · Fax (330) 244-8839

Phone(330) 754-4431

Fax(330) 244-8839

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 12, 2020

Last NPPES UpdateApril 8, 20254 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1831724640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in OH · APRN.CNP.026483

236 3RD ST SW, Canton, OH 44702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Stacey Wasem Aprn 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 ID8729409370

PECOS Enrollment IDI20200605002292

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.

Medicare Billing Reassignments

Medicare enrollment records show Stacey Wasem reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Care Providers, LLC

Same address

Internal Medicine

236 3RD ST SW
Canton, OH 44702

Reassigned Medicare billing, Ohio enrollment
79 clinicians in this Medicare group

NPI 1578799417 (330) 754-4431

Pinnacle Wound Providers, LLC

Same address

Internal Medicine

236 3RD ST SW
Canton, OH 44702

Reassigned Medicare billing, Ohio enrollment
5 clinicians in this Medicare group

NPI 1053193292 (330) 754-4431

Skill Doc 101, LLC

Same address

Internal Medicine

236 3RD ST SW
Canton, OH 44702

Reassigned Medicare billing, Ohio enrollment
85 clinicians in this Medicare group

NPI 1043647803 (330) 754-4431

Proxy Healthcare LLC

12 mi

Home Health

3570 EXECUTIVE DR STE 110
Uniontown, OH 44685

Reassigned Medicare billing, Ohio enrollment
18 clinicians in this Medicare group

NPI 1396582730 (330) 696-9430

Fast Response Nurse Practitioners, LLC

61 mi

Gerontology

3905 OBERLIN AVE
Lorain, OH 44053

Reassigned Medicare billing, Ohio and South Carolina enrollments
Also billed through NPI 1932863651 (South Carolina)
16 clinicians in this Medicare group

NPI 1720530181 (440) 989-5200

Fast Response Wound Solutions LLC

61 mi

Registered Nurse

3905 OBERLIN AVE STE 1
Lorain, OH 44053

Reassigned Medicare billing, Ohio enrollment
2 clinicians in this Medicare group

NPI 1710844147 (800) 772-1116

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 12

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

682 services213 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

336 services171 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

330 services213 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

309 services131 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

274 services144 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

109 services23 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

56 services46 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

30 services15 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

25 services24 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

22 services13 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

18 services14 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44702 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.4

Improvement Activities

Cost

77.15

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier12 claims20 services$9.45 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier14 claims559 services$7.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JAMIE PERRINE APRN-CNP

Nurse Practitioner (Family)