MRS. STEPHANIE JEAN WAECHTER (DNP-FNP) – Family Medicine Physician, NPI 1669243077

MRS. STEPHANIE JEAN WAECHTER (DNP-FNP) is a healthcare provider. based in Ankeny, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP-FNP. They hold a License No. A177193 (IA). The NPI Number for MRS. STEPHANIE JEAN WAECHTER (DNP-FNP) is 1669243077

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANIE JEAN WAECHTER (DNP-FNP)
NPI
1669243077
Phone
(515) 393-1126
Address
728 NW AUTUMN CREST DR
Enumeration Date
15 January 2024
Last Update Date
1 February 2025

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5156504370
Graduation Year
2023 (3 years ago)
PAC ID
8628570322
Group Practice PAC ID
9931516473
Professional Enrollment ID
I20250903002170
Address ID
IA502662527WE7300XPKWY304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for MRS. STEPHANIE JEAN WAECHTER (DNP-FNP)

  • 728 NW AUTUMN CREST DR

    ANKENY, IA 500234413

    Phone: (515) 393-1126

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250903002170INurse PractitionerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50023)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931516473View full group profile
NameSpecialtyState
Physician AssistantMO
Physician AssistantIA
Physician AssistantIA
Physician AssistantIA
Nurse PractitionerIA
Physician AssistantIL
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Internal MedicineIA

Reviews

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Frequently asked questions

What federal number belongs to MRS. STEPHANIE JEAN WAECHTER (DNP-FNP)?
The federal identifier for MRS. STEPHANIE JEAN WAECHTER (DNP-FNP) is NPI 1669243077.
Is MRS. STEPHANIE JEAN WAECHTER (DNP-FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MRS. STEPHANIE JEAN WAECHTER (DNP-FNP)'s specialty in plain language?
Clinically, the directory lists MRS. STEPHANIE JEAN WAECHTER (DNP-FNP) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MRS. STEPHANIE JEAN WAECHTER (DNP-FNP) practice in Iowa?
You will see Ankeny, Iowa on file for MRS. STEPHANIE JEAN WAECHTER (DNP-FNP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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