STACY M WYNN
NPI 1891083549
Social Worker - Clinical in Capac, MI
About Stacy M Wynn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY M WYNN (NPI 1891083549) is an individual clinical provider in Capac, Michigan, licensed in Michigan (6801092800) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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 M Wynn 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 Reassignment
Medicare enrollment records show Stacy Wynn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brockway, MI 48097
- Reassigned Medicare billing, Michigan enrollment
- 30 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48014 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wynn's NPI number?
The NPI number for Stacy Wynn is 1891083549. It was assigned to this individual provider in the NPPES registry on July 15, 2011.
Where is Stacy Wynn located?
Stacy Wynn practices at 14960 E Park St, Capac, MI 48014. The listed phone number is (810) 395-4343.
What is Stacy Wynn's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Stacy Wynn enrolled in Medicare?
Yes. Stacy Wynn 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 organization bills Medicare for Stacy Wynn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Wynn reassigns Medicare benefits to Blue Water Mental Health Clinic (Brockway, MI). The 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 Wynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Wynn accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Stacy Wynn 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.
When was this NPI record last updated?
The NPPES record for Stacy Wynn was last updated on July 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 M Wynn · NPI 1891083549
Clinical provider in Capac, Michigan. Individual provider, active in the CMS NPPES registry since July 15, 2011.
## Identity
- **NPI:** 1891083549 (Entity type: Individual)
- **Enumerated:** July 15, 2011
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801092800 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 14960 E PARK ST, Capac, MI 48014-3177
- **Phone:** (810) 395-4343
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Blue Water Mental Health Clinic (NPI 1467590406, Brockway, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 15, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1891083549) · Data from the CMS NPPES public registry.